Treatment of Catatonia in a Young Adult with COVID-19 Infection; Case Report and Review of the Literature on Electroconvulsive Therapy During the Covid-19 Pandemic

Infection with COVID-19 has presented diversely in patients, including neuropsychiatric symptoms such as akinetic mutism. Most of these cases involve patients of middle-to-late age or with other health comorbidities. This is a unique case of a long hospitalization for severe catatonic symptoms in a patient with covid-19 infection in which ultimately, ECT helped produce rapid improvements in catatonia. Access to prompt ECT has been limited during the ongoing pandemic, and this case illustrates the importance of managing contamination risk and maintaining access to psychiatric treatment resources. (AU)

La infección por COVID-19 ha tenido diversas presentaciones en los pacientes, incluyendo síntomas de tipo neuropsiquiátrico, tales como mutismo acinético. Muchos de estos casos involucran a pacientes de edad mediana a madura, o con otras comorbilidades de salud. El caso presente es un caso único de hospitalización prolongada por síntomas de catatonia grave en un paciente con infección por Covid-19 en el que, finalmente, la TEC ayudó a generar mejoras rápidas en términos de catatonia. El acceso a la TEC inmediata ha sido limitado durante el curso de la pandemia, y este caso ilustra la importancia de gestionar el riesgo de contaminación y mantener el acceso a los recursos de la terapia psiquiátrica. (AU)

Loxapine-Induced Priapism: A Case Report and Review of the Literature on Antipsychotic-Induced Priapism.

In this case report, a patient with schizophrenia experienced recurrent priapism while undergoing treatment of acute psychosis. This necessitated a review of the emergent treatment of priapism and discussion of the difficulties in treating priapism in a patient with acute psychosis. Therefore, this case report explores multiple possible etiologies of priapism within the realm of psychiatric care, reviews the proposed mechanisms of medication-induced priapism, and considers the psychopharmacological concepts that pertain to antipsychotic selection in the context of antipsychotic-induced priapism.