COVID-19 Infection Associated with Psychosis in Hemodialysis Patient

Hemodialysis is a medical procedure to correct electrolyte imbalance and remove fluids and waste products from the blood of patients with end-stage renal disease. Dialysis patients are immunosuppressed and hence at risk of complications of coronavirus infection. In addition, dialysis for most patien...

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Autores principales:	Ahmed Atris, Issa Al Salmi, Suad Hannawi
Formato:	article
Lenguaje:	EN
Publicado:	Oman Medical Specialty Board 2021
Materias:	covid-19 renal dialysis delirium Medicine R
Acceso en línea:	https://doaj.org/article/ae53ce3759de497ab510c516f961e4db
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spelling	oai:doaj.org-article:ae53ce3759de497ab510c516f961e4db2021-11-08T07:10:58ZCOVID-19 Infection Associated with Psychosis in Hemodialysis Patient10.5001/omj.2022.381999-768X2070-5204https://doaj.org/article/ae53ce3759de497ab510c516f961e4db2021-09-01T00:00:00Zhttps://omjournal.org/articleDetails.aspx?coType=1&aId=3011https://doaj.org/toc/1999-768Xhttps://doaj.org/toc/2070-5204Hemodialysis is a medical procedure to correct electrolyte imbalance and remove fluids and waste products from the blood of patients with end-stage renal disease. Dialysis patients are immunosuppressed and hence at risk of complications of coronavirus infection. In addition, dialysis for most patients is performed in-center, with therapy offered three times per week for 3.5 hours per session in sites highly exposed to virus contamination. A weak immune system and low cytokine storm explain why COVID-19 may be less severe in dialysis patients as death due to COVID-19 or effects on comorbidities in COVID-19 patients is due to overresponse against the virus by the immune system and cytokine storm. However, during the frequent trips between the dialysis center and home, the risk of coronavirus infection could be high. Moreover, hemodialysis patients constitute a distinct and high-risk group that is often associated with low immunity, decline or loss of the ability to work, substantial economic burden, the inability to fulfill family responsibilities and participate in an active social life, and suffer from various complications such as muscle weakness, pruritus, fatigue, diabetes, hypertension, and restless legs. These factors are associated with lower quality of life and poor clinical outcomes, leading to a higher risk of psychological problems than in the general population. We report a rare case of new-onset psychosis (mostly delirium) following COVID-19 infection in a middle-aged hemodialysis patient with rapid recovery. Ahmed Atris Issa Al SalmiSuad HannawiOman Medical Specialty Boardarticlecovid-19renal dialysisdeliriumMedicineRENOman Medical Journal, Vol 36, Iss 5, Pp e312-e312 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	covid-19 renal dialysis delirium Medicine R
spellingShingle	covid-19 renal dialysis delirium Medicine R Ahmed Atris Issa Al Salmi Suad Hannawi COVID-19 Infection Associated with Psychosis in Hemodialysis Patient
description	Hemodialysis is a medical procedure to correct electrolyte imbalance and remove fluids and waste products from the blood of patients with end-stage renal disease. Dialysis patients are immunosuppressed and hence at risk of complications of coronavirus infection. In addition, dialysis for most patients is performed in-center, with therapy offered three times per week for 3.5 hours per session in sites highly exposed to virus contamination. A weak immune system and low cytokine storm explain why COVID-19 may be less severe in dialysis patients as death due to COVID-19 or effects on comorbidities in COVID-19 patients is due to overresponse against the virus by the immune system and cytokine storm. However, during the frequent trips between the dialysis center and home, the risk of coronavirus infection could be high. Moreover, hemodialysis patients constitute a distinct and high-risk group that is often associated with low immunity, decline or loss of the ability to work, substantial economic burden, the inability to fulfill family responsibilities and participate in an active social life, and suffer from various complications such as muscle weakness, pruritus, fatigue, diabetes, hypertension, and restless legs. These factors are associated with lower quality of life and poor clinical outcomes, leading to a higher risk of psychological problems than in the general population. We report a rare case of new-onset psychosis (mostly delirium) following COVID-19 infection in a middle-aged hemodialysis patient with rapid recovery.
format	article
author	Ahmed Atris Issa Al Salmi Suad Hannawi
author_facet	Ahmed Atris Issa Al Salmi Suad Hannawi
author_sort	Ahmed Atris
title	COVID-19 Infection Associated with Psychosis in Hemodialysis Patient
title_short	COVID-19 Infection Associated with Psychosis in Hemodialysis Patient
title_full	COVID-19 Infection Associated with Psychosis in Hemodialysis Patient
title_fullStr	COVID-19 Infection Associated with Psychosis in Hemodialysis Patient
title_full_unstemmed	COVID-19 Infection Associated with Psychosis in Hemodialysis Patient
title_sort	covid-19 infection associated with psychosis in hemodialysis patient
publisher	Oman Medical Specialty Board
publishDate	2021
url	https://doaj.org/article/ae53ce3759de497ab510c516f961e4db
work_keys_str_mv	AT ahmedatris covid19infectionassociatedwithpsychosisinhemodialysispatient AT issaalsalmi covid19infectionassociatedwithpsychosisinhemodialysispatient AT suadhannawi covid19infectionassociatedwithpsychosisinhemodialysispatient
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COVID-19 Infection Associated with Psychosis in Hemodialysis Patient

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