As symptoms may persist for a long period of time, treatment may be long-lasting and require outpatient supervision ( 9). In older people, specific pathogenic mechanisms can determine the clinical manifestations of long COVID such as hemorrhagic stroke, delirium, and long-term cognitive complaints including problems with short time memory and brain fog ( 8). While the etiology and pathogenesis of long COVID neurological syndrome ( 6) has not been well defined, the social consequences (such as relationship issues, fear of economic problems, and social stigma) can create additional difficulties ( 7). The most common mental health consequences of long-COVID are fatigue, cognitive impairment, depression, and anxiety symptoms ( 5). Long COVID has affected ~10%−30% of the people who have experienced an acute COVID-19 illness ( 4). The persistent and long-term effects of SARS-CoV-2 (COVID-19) infection (long COVID) may include brain fog ( 1, 2) consisting of cognitive dysfunction, memory issues, lack of mental clarity, forgetfulness, and fatigue, which occurs in 32% of cases anxiety, occurring in 23% of cases and depression, which occurs in 12% of cases ( 3). Patient treatment was complex, and positive results were attained via antidepressants and non-drug therapies e.g., art, music, drama, dance and movement therapy, physiotherapy, occupational therapy, and psychotherapy. These long-term symptoms are possibly linked to micro-hemorrhages detected during examinations of the patient's brain following COVID-19 infection. Nine months following an acute COVID-19 infection, the patient's depressive symptoms improved, but memory and concentration difficulties persisted, and the patient remains unable to resume work. In this case report, a 72-year-old, fully vaccinated patient without pre-existing somatic or mental illnesses, or other relevant risk factors was diagnosed with long COVID. These delayed effects of COVID-19 occur in up to 30% of people who have had an acute case of COVID-19. The clinical manifestations of long COVID include depression, anxiety, brain fog with cognitive dysfunction, memory issues, and fatigue. SARS-CoV-2 (COVID-19) infection can result in long-term health consequences i.e., long COVID. 2Department for Depression and Crisis, Riga Center of Psychiatry and Narcology, Riga, Latvia. ![]() 1Department of Psychiatry and Narcology, Riga Stradinš University, Riga, Latvia.
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