SciELO - Scientific Electronic Library Online

vol.84 número1Avances genómicos de la última década y su influencia en el enfoque diagnóstico de la discapacidad intelectual.Síndrome de Guillain Barré e infección por SARS-CoV-2: reporte de dos casos en Perú. índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




  • No hay articulos citadosCitado por SciELO

Links relacionados

  • No hay articulos similaresSimilares en SciELO


Revista de Neuro-Psiquiatría

versión impresa ISSN 0034-8597


RODRIGUEZ-LEON, Jamie; ORTIZ-PINILLOS, Lorena Lucía  y  CRUZADO, Lizardo. COVID-19 and diabetic ketoacidosis misdiagnosed as primary anxiety: A case report on medical versus psychiatric causes of anxiety. Rev Neuropsiquiatr [online]. 2021, vol.84, n.1, pp.51-57. ISSN 0034-8597.

Anxiety disorders are of great importance in emergency psychiatry, both because of the frequency with which they occur, and because of the relevance of somatic diseases that can underlie an anxious condition. It is imperative to determine, from the initial diagnostic approach, whether the signs and symptoms of anxiety constitute either a response to stress, are manifestations of an underlying somatic pathology, or are explained as symptoms of a specific, primary psychiatric disorder. Currently, the COVID-19 pandemic --in which Peru has had the highest mortality rate in the world-is overwhelming the health services with complex and confusing pictures in which both the symptoms of the viral infection itself, as well as the of anxious reactions and stress responses are combined. On the basis of an illustrative case, in which the medical screening process was deficient and the patient was labeled as a primary case of "anxiety", with a regrettably ominous outcome, the literature about medical clearance is briefly reviewed, to categorically highlight the importance of a comprehensive and unbiased diagnostic consideration, based on well-developed and substantiated clinical criteria. On the other hand, the psychiatrist nowadays needs to be updated on the forms of psychopathological presentations associated with the symptoms of COVID-19.

Palabras clave : Anxiety; diabetic ketoacidosis; coronavirus infections.

        · resumen en Español     · texto en Español     · Español ( pdf )