COVID-19 may affect central nervous system. The symptoms related
to the CNS may occur through the direct neuroinvasion of the virus,
inflammation, autoimmunity, psychosocial stressors and treatment
side effects. COVID-19 can increase the severity of existing mental
illnesses and also trigger the onset of a new mental illness. In this
case report, we present a 52-year-old male patient with no previous
psychiatric history as well as no family history of mental illness.
The patient’s manic symptoms began while he was hospitalized due
to severe COVID-19 pneumonia. The patient, who self-discharged
himself from the hospital was brought to the emergency department
involuntarily by his relatives 14 days later and was admitted to the
psychiatry service. In this case report, possible etiological factors were
discussed and the treatment course during the hospitalization and
one year follow-up were presented. Our aim is to contribute to the
literature by discussing possible etiological factors and management of
mania that started during the treatment of COVID-19. COVID-19
can affect the central nervous system and be associated with psychiatric
symptoms.
Keywords: COVID-19, Mania, Bipolar Disorder, Central Nervous
System