Infection | Brain

Covid-19 Delirium (Distorted Reality): Its Roots and Aftermaths

Ignoring it bears life-long consequences of brain health.

Shin Jie Yong, MSc (Res)
Microbial Instincts
7 min readJun 8, 2020

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Contents:
1. Covid-19 Includes Delirium
2. Covid-19 Delirium Was Overlooked
3. How Covid-19 Causes Delirium
4. Prevention vs Treatment
5. Short- and Long-term Consequences of Covid-19 Delirium
6. Could We Do Better From Here On?

Covid-19 Includes Delirium

Delirium means disturbed consciousness in the DSM-IV. The DSM-5 now defines delirium as a disorder of attention, awareness, and cognition, and may share symptoms with psychosis such as hallucinations, paranoia, irrational thoughts, and grotesque dreams. The Atlantic reports that a few delirious Covid-19 patients became psychotic. They “may believe their organs are being harvested, or that nurses are torturing them. A spike in fever might feel like being set on fire. An MRI exam might feel like being fed into an oven.”

About 20–30% of Covid-19 patients experience delirium; in severe cases, the number rises to 60–70% regardless of age. This prevalence is consistent with the literature where delirium occurs to 60–70% in patients admitted to the intensive care unit (ICU).

Covid-19 Delirium Was Overlooked

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Shin Jie Yong, MSc (Res)
Microbial Instincts

Independent science writer and researcher | Named Standford's world top 1% scientists | Medium's boost nominator | Elite Powerlifter | Ghostwriter | Malaysian