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2019 Coronavirus Disease, Beware of Psychogenic Issue

Published online by Cambridge University Press:  18 May 2020

Qianshi Zhang
Affiliation:
Department of Spine Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China410011
Xin Qi*
Affiliation:
Department of Ophthalmology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China. 410011
*
Correspondence and reprint requests to Xin Qi, Department of Ophthalmology, The Second Xiangya Hospital, No. 139, Renmin Middle Road, Changsha, 410011, Hunan Province, China (e-mail: qixin78@csu.edu.cn).
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Abstract

Type
Letter to the Editor
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 2020 Society for Disaster Medicine and Public Health, Inc.

An ongoing outbreak of pneumonia associated with a novel coronavirus disease (COVID-19) Reference Zhu, Zhang and Wang1,Reference Chen, Liu and Guo2 was first reported in Wuhan city, Hubei Province, China, Reference Chan, Yuan and Kok3 and has now spread throughout the country. Affected patients were geographically linked with a local wet market as a potential source, Reference Chan, Yuan and Kok3 and it has been indicated that it could be transmitted by respiratory or person-to-person contact. Symptoms include fever, upper or lower respiratory tract symptoms, or diarrhea, Reference Chan, Yuan and Kok3,Reference Huang, Wang and Li4 and a few patients have complained of conjunctivitis at the early stage of the 14-day incubation period. Reference Cheng, Wong and To5 Health care workers all over the country are fiercely working to prevent and treat the disease; however, we believe that psychological intervention and counseling for the public are equally important.

A 59-year-old male presented to our clinic with intermittent foreign body sensation in both eyes for a few hours, without red eye or visual abnormalities. The patient complained of an intermittently “uncomfortable” feeling in his chest since taking a train through Wuhan city 7 days ago and indicated that it worsened when he read domestic or local news. He had no significant history of fever, cough, difficulty breathing, fatigue, or diarrhea. Ocular examination, radiological tests, and electrocardiograms showed no abnormalities, and the axillary temperature was 36.8°C. The patient suffered from symptoms with sleep disorders and anxiety intermittently; however, all symptoms were completely resolved after the end of the “14-day incubation period.” In addition, more patients sought care at our clinic with red eye, dry eye, or irritation in the eye, fearing “getting the virus.”

COVID-19 is a worldwide epidemic disease with rapid propagation, and the identified cases might only be the tip of the iceberg. A total of 835 confirmed cases with 25 fatalities were identified in Wuhan by January 24 Reference Huang, Wang and Li4 ; however, there are over 70 000 confirmed cases in China to date, including 1870 deaths, and several exported cases have been confirmed in other countries, such as Thailand, Japan, and the United States. Reference Huang, Wang and Li4 Psychological panic is inevitable in this situation, and we hope that this letter will remind the global community that the emergence of this novel coronavirus requires treatments for physical ailments and a focus on science popularization of the disease to promote early psychological intervention and prevent the occurrence of psychogenic diseases.

Conflict of Interest Statement

The authors have no conflicts of interest to declare.

References

REFERENCES

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