Time for lessons from the first wave of SARS-CoV-2 epidemic. A case report of a patient with acute psychosis and COVID-19 and later virus reactivation.

A case of a middle-aged male, suffering from acute psychosis while in self-isolation due to COVID-19 (coronavirus disease 2019) is presented. The patient required urgent hospital admission due to psychosis, which was only possible to COVID-19 unit of the Department of Infectious Diseases at the time. After transfer to psychiatric hospital, stool sample, taken as an additional preventive measure, was positive for the novel coronavirus. In addition, the patient experienced spontaneous virus reactivation few weeks later. This case report describes certain dilemmas, based on care for patients with mental illness as Europe stands on the brink of COVID-19 second wave.