Kovid-19 Tanılı Bir Pediatrik Hastada Dikkat Eksikliği-Hiperaktivite Bozukluğu Tedavisi

2019 yılı Aralık ayında ilk kez ortaya çıkan ve tüm dünyaya yayılan yeni tip koronovirüs (Kovid-19) ile semptomatik ve/veya asemptomatik enfekte olan çocuk ve ergenlerin sayısı tam olarak bilinmemektedir. Kısa sürede gelişen pandemi sürecinin ve pandemi etkeninin tedavi algoritmasının belirsizliği tüm dünyada kaotik bir ortam oluşturmuştur. Çocuk ve ergenler bu kaotik ortamdan olumsuz etkilenmişlerdir. Bu dönemin çocuk ve ergenlerin ruh sağlığı üzerine etkilerini inceleyen çalışmalar kısıtlıdır. Dikkat eksikliği hiperaktivite bozukluğu (DEHB), otizm spektrum bozukluğu (OSB) gibi psikiyatrik hastalık öyküsü olan bireylerin diğer bireylere kıyasla daha zor uyum gösterdiği ve daha olumsuz etkilendiği ileri sürülmüştür. Burada DEHB ve karşıt olma karşıt gelme bozukluğu (KOKGB) ve Kovid-19 hastalığı birlikteliği olan, tedavisinde kısa etkili metilfenidat (IRIS-MPH) kullanımı ile Kovid-19 kliniğinde herhangi bir kötüleşme olmayan, herhangi bir yan etki gözlenmeyen ve başarılı bir şekilde tedavi edilen bir hasta sunulmuştur. Bununla birlikte Kovid-19 hastalarında IRIS-MPH ve diğer psikotrop ajanların güvenle kullanımını değerlendiren daha ileri çalışmalara ihtiyaç vardır.

Anahtar Kelimeler:

Kovid 19, dikkat eksikliği hiperaktivite bozukluğu, metilfenidat, risperidon, tedavi, çocuk

Treatment of Attention Deficit-Hyperactivity Disorder in a Pediatric Patient with COVID-19

It is unknown that the novel Coronavirus (COVID-19), which emerged for the first time in December 2019 and spread all over the world, have affected how many children symptomatically or asymptomatically. The uncertainty of the treatment algorithm of pandemic factor and rapidly developing pandemic process created a chaotic environment in whole world. Children and adolescents have been adversely affected by this chaotic environment. Studies examining the effects of this period on the mental health of children and adolescents are scarce. It has been suggested that individuals with psychiatric disorders such as attention deficit-hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) adapted more difficultly and were affected more negatively than other individuals. In this study, we present a patient with ADHD and oppositional defiant disorder (ODD) who was using short-acting methylphenidate (IRISMPH) for treatment, had no worsening or any adverse side effects and was treated carefully for COVID-19 infection. However, further studies are required to evaluate the safety of IRIS-MPH and other psychotropic agents in patients with COVID-19.

Keywords:

COVID 19, Attention deficit-hyperactivity disorder, Methylphenidate, Risperidone, Treatment, Child,

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