Merkezi Sinir Sistemi Enfeksiyon Hastalıkları Olan Çocuk ve Ergenlerde Konsültasyon-Liyezon Psikiyatrisi
Özet
Çocuk ve ergenlerde COVID-19, menenjit/ensefalit ve HIV gibi enfeksiyonlar, nöropsikiyatrik belirtilere yol açarak konsültasyon-liyezon psikiyatrisi açısından önem taşır. COVID-19, pandemi ve beraberinde yaşanan sosyal ve toplumsal değişiklikler, okul ve aktivite merkezleri gibi yerlerin uzun süre kapanmaları, çocuklar ve gençler üzerinde yalnızlık, kaygı ve belirsizlik duygularına neden olmalarının yanında eğitimsel, psikolojik ve gelişimsel yönden olumsuz etkiler oluşturabilir. Menenjit/ensefalit bilişsel bozukluklar, davranış değişiklikleri, eğitimsel ve psikolojik işlevsellik kaybı ve duygusal sorunlara yol açabilir. HIV enfeksiyonu ise hem hastalığın kendisi hem de antiretroviral tedavinin yan etkileri nedeniyle duygudurum bozuklukları ve nörobilişsel gerilemelere neden olabilir. Bu enfeksiyonların psikiyatrik etkileri, erken tanı ve multidisipliner yaklaşımla ele alınmalıdır.
Infections such as COVID-19, meningitis/encephalitis and HIV in children and adolescents cause neuropsychiatric symptoms and are important for consultation-liaison psychiatry. COVID-19, the pandemic and the accompanying social and societal changes, as well as the prolonged closure of places such as schools and activity centres, may have negative educational, psychological and developmental effects on children and young people, causing feelings of loneliness, anxiety and uncertainty. Meningitis/encephalitis can lead to cognitive disorders, behavioural changes, loss of educational and psychological functioning and emotional problems. HIV infection may cause mood disorders and neurocognitive decline due to both the disease itself and the side effects of antiretroviral therapy. The psychiatric effects of these infections should be addressed with early diagnosis and a multidisciplinary approach.
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