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Remitting neuropsychiatric symptoms in COVID-19 patients: Viral cause or drug effect?

David A Forero-PeñaMatthew M HernandezIriana Paola Mozo HerreraIván Bolívar Collado EspinalJoselyn Páez PazCarlos FerroDavid M Flora-NodaAndrea L MaricutoViledy L VelásquezNatasha A Camejo-AvilaEmilia Mia SordilloLourdes A Delgado NogueraLuis A Perez-GarciaCarlos G Morantes RodríguezMaría Eugenia LandaetaAlberto Paniz Mondolfi
Published in: Journal of medical virology (2021)
Numerous reports of neuropsychiatric symptoms highlighted the pathologic potential of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its relationship the onset and/or exacerbation of mental disease. However, coronavirus disease 2019 (COVID-19) treatments, themselves, must be considered as potential catalysts for new-onset neuropsychiatric symptoms in COVID-19 patients. To date, immediate and long-term neuropsychiatric complications following SARS-CoV-2 infection are currently unknown. Here we report on five patients with SARS-CoV-2 infection with possible associated neuropsychiatric involvement, following them clinically until resolution of their symptoms. We will also discuss the contributory roles of chloroquine and dexamethasone in these neuropsychiatric presentations.
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