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

Introduction: 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. Case Report: Here we present the case of a 69-year-old man who was admitted to the emergency...

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Main Authors: Tyler H. Wen, Jason Chu, Danielle M. Allenspach, David C. Van
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2020-11-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/72j240x9
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author Tyler H. Wen
Jason Chu
Danielle M. Allenspach
David C. Van
author_facet Tyler H. Wen
Jason Chu
Danielle M. Allenspach
David C. Van
author_sort Tyler H. Wen
collection DOAJ
description Introduction: 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. Case Report: 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. Conclusion: 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.
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spelling doaj.art-1a32de002b1a44878c6f01f0eb4d30eb2022-12-22T00:15:34ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2020-11-014410.5811/cpcem.2020.8.48559cpcem-04-517Delirium Associated with Salicylate and Acetaminophen Overdose in a Patient with COVID-19: A Case ReportTyler H. Wen0Jason Chu1Danielle M. Allenspach2David C. Van3Columbia University Vagelos College of Physicians and Surgeons, New York, New YorkColumbia University Irving Medical Center, Department of Emergency Medicine, New York, New YorkColumbia University Irving Medical Center, Department of Emergency Medicine, New York, New YorkColumbia University Irving Medical Center, Department of Emergency Medicine, New York, New YorkIntroduction: 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. Case Report: 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. Conclusion: 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.https://escholarship.org/uc/item/72j240x9
spellingShingle Tyler H. Wen
Jason Chu
Danielle M. Allenspach
David C. Van
Delirium Associated with Salicylate and Acetaminophen Overdose in a Patient with COVID-19: A Case Report
Clinical Practice and Cases in Emergency Medicine
title Delirium Associated with Salicylate and Acetaminophen Overdose in a Patient with COVID-19: A Case Report
title_full Delirium Associated with Salicylate and Acetaminophen Overdose in a Patient with COVID-19: A Case Report
title_fullStr Delirium Associated with Salicylate and Acetaminophen Overdose in a Patient with COVID-19: A Case Report
title_full_unstemmed Delirium Associated with Salicylate and Acetaminophen Overdose in a Patient with COVID-19: A Case Report
title_short Delirium Associated with Salicylate and Acetaminophen Overdose in a Patient with COVID-19: A Case Report
title_sort delirium associated with salicylate and acetaminophen overdose in a patient with covid 19 a case report
url https://escholarship.org/uc/item/72j240x9
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AT jasonchu deliriumassociatedwithsalicylateandacetaminophenoverdoseinapatientwithcovid19acasereport
AT daniellemallenspach deliriumassociatedwithsalicylateandacetaminophenoverdoseinapatientwithcovid19acasereport
AT davidcvan deliriumassociatedwithsalicylateandacetaminophenoverdoseinapatientwithcovid19acasereport