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Catapano P, Messina M, Russo A, Tucci C, Luciano M, De Santis V, Perris F, Catapano F, Coppola N, Fabrazzo M. Preexisting mild cognitive impairment as a risk factor for COVID-19 infection: A scoping review and case reports. Eur Psychiatry 2022. [PMCID: PMC9565264 DOI: 10.1192/j.eurpsy.2022.1267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction
SARS-Co-V2 neuroinvasive ability might be the basis for the onset of delirium and neuropsychiatric outcomes.
Objectives
We hypothesized that some infected patients with preexisting cognitive dysfunction may present delirium as unique manifestation of COVID-19 infection or as a prodrome of a new episode consistent with the psychiatric history.
Methods
We conducted a PubMed literature search to verify whether cognitive impairment might predispose to COVID-19. We included three patients with mild cognitive impairment and delirium at admission for SARS-Co-V2 suspected infection. Delirium was diagnosed according to DSM-5 criteria‚ Cognitive Assessment Method and Coma Glasgow Scale.
Results
Literature analysis evidenced patients presenting delirium or delirium-like symptoms as clinical manifestation of COVID-19, plus a cognitive impairment‚ from mild to severe‚ which preexisted or was evidenced during the acute phase or after the infection. Most studies described delirium in patients with a past neurological/psychiatric history. Contrasting data emerged on the potential link between COVID-19 and delirium in patients with cognitive impairment and without a past neuropsychiatric history. Our patients had no history of other medical complications. Our first patient had no psychiatric history‚ the second reported only a depressive episode‚ and the third had story of bipolar disorder. Delirium resolved completely after 2 days in the first patient. The other patients required 4 and 14 days to resolve: delirium appeared as the prodrome of a new psychiatric episode in line with their past history.
Conclusions
Clinicians should acknowledge the possibility that COVID-19 infection may appear as delirium and acute psychiatric sequelae as unique manifestation.
Disclosure
No significant relationships.
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Gentile M, Zinna M, Zanella C, Costanza A, Dalfior D, Sina S, Greco F, Fiorica F, Colombari R, Catapano P, Bonetti A, Remo A. Uterine PEComa with aggressive behavior: A review with an additional case of spontaneous vaginal expulsion. Pathol Res Pract 2020; 216:152991. [PMID: 32527449 DOI: 10.1016/j.prp.2020.152991] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2020] [Accepted: 04/22/2020] [Indexed: 11/28/2022]
Abstract
Perivascular epithelioid cell tumor (PEComa) is a rare mesenchymal tumor originating from perivascular epitheloid cells showing melanocytic and smooth muscle differentiation. The uterus represents the second most common site of origin. A 49 years woman presented to our Hospital for a vaginal spontaneous expulsion of a mass suggestive for malignant mesenchymal tumor. The patient underwent total hysterectomy and bilateral salpingo-oophorectomy and the histopathological report was compliant with a PEComa with aggressive behavior. Medical Literature databases about PEComa were searched. The current literature identified near 90 cases of uterine PEComas and they are categorized as uncertain malignant potential or with aggressive behavior. Primary surgical excision represents the gold-standard treatment. Recently targeted therapy with mTOR inhibitors has been introduced with an important beneficial. In this paper we review the Literature about the uPEComa with aggressive behavior reporting the first case of spontaneous vaginal expulsion.
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Affiliation(s)
- M Gentile
- Obstetrics and Gynecology Unit, Surgical Department, ULSS 9 "Scaligera", Verona, Italy
| | - M Zinna
- Obstetrics and Gynecology Unit, Surgical Department, ULSS 9 "Scaligera", Verona, Italy
| | - C Zanella
- Oncology Unit, Oncology Department, ULSS9 "Scaligera", Verona, Italy
| | - A Costanza
- Obstetrics and Gynecology Unit, Surgical Department, ULSS 9 "Scaligera", Verona, Italy
| | - D Dalfior
- Pathology Unit, Service Department, ULSS9 "Scaligera", Verona, Italy
| | - S Sina
- Oncology Unit, Oncology Department, ULSS9 "Scaligera", Verona, Italy
| | - F Greco
- Oncology Unit, Oncology Department, ULSS9 "Scaligera", Verona, Italy
| | - F Fiorica
- Radiotherapy Unit, Oncology Department, ULSS9 "Scaligera", Verona, Italy
| | - R Colombari
- Pathology Unit, Service Department, ULSS9 "Scaligera", Verona, Italy
| | - P Catapano
- Obstetrics and Gynecology Unit, Surgical Department, ULSS 9 "Scaligera", Verona, Italy
| | - A Bonetti
- Oncology Unit, Oncology Department, ULSS9 "Scaligera", Verona, Italy
| | - A Remo
- Pathology Unit, Service Department, ULSS9 "Scaligera", Verona, Italy.
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Di Loreto P, Martino F, Chiaramonte S, Dissegna D, Ronco C, Marchesoni D, Catapano P, Romano G, Montanaro D. Pregnancy After Kidney Transplantation: Two Transplantation Centers—Vicenza–Udine Experience. Transplant Proc 2010; 42:1158-61. [DOI: 10.1016/j.transproceed.2010.03.082] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Ramos-Gomez FJ, Flaitz C, Catapano P, Murray P, Milnes AR, Dorenbaum A. Classification, diagnostic criteria, and treatment recommendations for orofacial manifestations in HIV-infected pediatric patients. Collaborative Workgroup on Oral Manifestations of Pediatric HIV Infection. J Clin Pediatr Dent 1999; 23:85-96. [PMID: 10204447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/11/2023] Open
Abstract
The criteria for diagnosis of HIV-related oral lesions in adults are well established, but corresponding criteria in the pediatric population are not as well defined. The Collaborative Workgroup on the Oral Manifestations of Pediatric HIV infection reached a consensus, based upon available data, as to the presumptive and definitive criteria to diagnose the oral manifestations of HIV infection in children. Presumptive criteria refer to the clinical features of the lesions, including signs and symptoms, whereas definitive criteria require specific laboratory tests. In general, it is recommended that definitive criteria be established whenever possible. Orofacial manifestations have been divided into three groups: 1) those commonly associated with pediatric HIV infection; 2) those less commonly associated with pediatric HIV infection; and 3) those strongly associated with HIV infection but rare in children. Orofacial lesions commonly associated with pediatric HIV infection include candidiasis, herpes simplex infection, linear gingival erythema, parotid enlargement, and recurrent aphthous stomatitis. In contrast, orofacial lesions strongly associated with HIV infection but rare in children include Kaposi's sarcoma, non-Hodgkin's lymphoma, and oral hairy leukoplakia. Treatment recommendations, specific for this age group, have been included for some of the more common HIV-related orofacial manifestations.
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Affiliation(s)
- F J Ramos-Gomez
- Department of Growth and Development, School of Dentistry, University of California San Francisco 94143-0438, USA.
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