Time for lessons from the first wave of SARS-CoV-2 epidemic. A case report of a patient with acute psychosis and COVID-19 and later virus reactivation

A case of a middle-aged male, suffering from acute psychosis while in self-isolation due to COVID-19 (coronavirus disease 2019) is presented. The patient required urgent hospital admission due to psychosis, which was only possible to COVID-19 unit of the Department of Infectious Diseases at the time. After transfer to psychiatric hospital, stool sample, taken as an additional preventive measure, was positive for the novel coronavirus. In addition, the patient experienced spontaneous virus reactivation few weeks later. This case report describes certain dilemmas, based on care for patients with mental illness as Europe stands on the brink of COVID-19 second wave. (AU)

Time for lessons from the first wave of SARS-CoV-2 epidemic. A case report of a patient with acute psychosis and COVID-19 and later virus reactivation.

A case of a middle-aged male, suffering from acute psychosis while in self-isolation due to COVID-19 (coronavirus disease 2019) is presented. The patient required urgent hospital admission due to psychosis, which was only possible to COVID-19 unit of the Department of Infectious Diseases at the time. After transfer to psychiatric hospital, stool sample, taken as an additional preventive measure, was positive for the novel coronavirus. In addition, the patient experienced spontaneous virus reactivation few weeks later. This case report describes certain dilemmas, based on care for patients with mental illness as Europe stands on the brink of COVID-19 second wave.

First report of an outbreak of pneumonia caused by Streptococcus pneumoniae serotype 6A.

Five patients in a geropsychiatric unit of a psychiatric hospital became abruptly ill with pneumonia caused by Streptococcus pneumoniae serotype 6A. Four other residents were colonized with the same serotype, which has previously not been reported in association with pneumonia outbreaks. Furthermore, serotype 6A is not included in all vaccine types, which may be important for the choice of vaccine in some settings. All isolates showed identical pulsed-field gel electrophoresis restriction patterns.