ABSTRACT
BACKGROUND: The coronavirus pandemic is associated with significant morbidity and mortality. While physical recovery has been made a priority, the psychological wellbeing of recovered patients is not receiving the attention it deserves. CASE PRESENTATION: We present the case of a 27-year-old male who developed severe depression associated with anxiety and suicidal ideations two weeks after full recovery from COVID- 19 infection. Significant somatization was also present at the onset which he misattributed to a recurrence of the infection. He was admitted for in-patient psychiatric care and fully recovered after six weeks of medication and psychotherapy. CONCLUSION: Infection with the virus is a psychologically distressing experience that can trigger mental disorders in vulnerable individuals. Our report highlights the mental health needs of all COVID-19 patients and the need for psychological evaluation in the post-recovery period.
CONTEXTE: La pandémie de coronavirus est associée àmorbidité et mortalité importantes. Pendant la récupération physiquea été fait une priorité, le bien-être psychologique deles patients rétablis ne reçoivent pas l'attention qu'ils méritent. PRÉSENTATION DU CAS: Nous présentons le cas d'un jeune homme de 27 anshomme qui a développé une dépression sévère associée à l'anxiétéet les idées suicidaires deux semaines après le rétablissement complet de la COVID-19 infection. Une somatisation importante était également présente à l'apparition qu'il a attribuée à tort à une récurrence de l'infection.Il a été admis pour des soins psychiatriques hospitaliers et completsrécupéré après six semaines de médicaments et de psychothérapie. CONCLUSION: L'infection par le virus est une atteinte psychologiqueexpérience pénible qui peut déclencher des troubles mentaux dansles personnes vulnérables. Notre rapport met en lumière la santé mentaleles besoins de tous les patients atteints de la COVID-19 et le besoin deévaluation dans la période post-rétablissement. Mots-clés: Anxiété, Dépression, Suicidaire, COVID-19, Nigéria.
Subject(s)
COVID-19 , Suicide , Adult , Depression/etiology , Depression/psychology , Humans , Male , Nigeria , Suicidal Ideation , Suicide/psychologyABSTRACT
This study examined the burden of Zn, Cu, Ni, Pb, Cr and V in patches of asphyxiated mangrove swamp areas within Qua Iboe Estuary mangrove ecosystem by sediments and surface water analysis; in order to establish natural background levels of these metals and to assess anthropogenic influences on them. The analysis shows that the mean concentrations (mg/kg, dw) of Zn, Cu, Ni, Pb, Cr and V in sediments from asphyxiated and healthy mangrove ecosystems of Qua Iboe vary from 36.3-179.4, 29.2-43.2, 3.6-37.4, 39.6-93.8, 0.15-0.53 and 2.9-9.3, with the former exhibiting higher metal accumulating potential. Although heavy metal concentrations in surface water of the asphyxiated swamp were low, their accumulative effect is significant. The concentrations of Cu and Pb in surface water of this ecosystem exceeded the water quality criteria while Ni and Cr were under the maximum concentration for drinking water quality and protection of aquatic life. The values of pollution load index (PLI), which are generally greater than unity, show that the sediments and the surface water from the asphyxiated mangrove ecosystem were polluted with heavy metals, thus suggesting anthropogenic activities as a possible source of these metals. The mean concentrations of Zn, Ni and Pb exceeded the effects range-low (ERL), indicating that there may be some ecotoxicological risk to organisms living in asphyxiated mangrove sediments.
