Delirium Associated with Salicylate and Acetaminophen Overdose in a Patient with COVID-19: A Case Report

Clinical Practice and Cases in Emergency Medicine
Tyler H WenDavid C Van

Abstract

The coronavirus disease 2019 (COVID-19) pandemic has created numerous clinical challenges for physicians, in part due to its wide range of clinical manifestations and associated complications. Here we present the case of a 69-year-old man who was admitted to the emergency department with fever, dyspnea, and altered mental status. We believe the patient's condition was precipitated by a COVID-19 infection-induced delirium, a setting in which he ingested aspirin and acetaminophen in overdose that required lifesaving interventions. This case illustrates the potential for neuropsychiatric effects in COVID-19 patients due to both direct viral central nervous system pathology and pandemic-related psychosocial stressors.

References

Apr 16, 2015·Mediators of Inflammation·Xiujuan WuHong-Liang Zhang
Feb 1, 2019·Advanced Emergency Nursing Journal·Dale BowersMolly Clinkscales
Apr 18, 2020·Asian Journal of Psychiatry·Ravi Philip Rajkumar
Apr 28, 2020·Asian Journal of Psychiatry·Mamidipalli Sai SpoorthySupriya Mahant
May 14, 2020·The New England Journal of Medicine·Victor G PuellesTobias B Huber

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