Avicenna - Current Issue

Fever with a rash is a common case scenario that clinicians encounter in their practice. The ubiquity of the presentation is proportional to the magnitude of the physician's dilemma due to its numerous causes. The diagnosis varies from infectious diseases to non-infectious, life threatening diseases including the current COVID-19 pandemic. Here we present a case of a 31-year-old male, who presented to the Emergency Department with fever and rash and was initially diagnosed and managed as a case of COVID-19 which on further evaluation proved to be brucellosis. This is a case of brucellosis with cutaneous manifestations which had been masquerading as COVID-19.

General lockdown was declared in Tunisia in March 2020 due to the COVID-19 pandemic. It had a negative psychological and social impact on the Tunisian population and health professionals. Mental healthcare was crucial during this period but health services access was difficult because of movement restrictions. Mongi Slim Hospital contains three special COVID-19 units and there was an urgent need for a psychological intervention with increasing demands at the mental health department in this hospital. A psychological support unit (PSU) was implemented with a free helpline for both patients, families and hospital staff. The objective of this paper was to describe the design, implementation and activities of this unit. This PSU had preventive and management activities for both patients and health professionals. Recommendations drawn from this experience are to promote mental health care and to encourage implementation of such units in order to respond to the local need of patients and staff. This pilot experience should be generalized to other hospitals in Tunisia and worldwide.

The COVID-19 pandemic has devastated people and countries around the world. It has affected every aspect of human life. Despite the discovery of vaccines and widespread immunization drive which is a minor consolation, the consequences of it are likely to prevail for extended periods of time. This study explored the psychological impacts of the COVID-19 pandemic within the United Arab Emirates (UAE). An online survey was carried out among a sample of 78 expatriate residents. While most of the respondents recognized and highly valued the measures taken by the UAE government to support and deal with the pandemic, intense stress and uncertainty was reported. It was found that the Asian community was more anxious concerning the negative consequences of the pandemic than Arab or W stern residents. The worry among older people was also found to be more intense. Anxiety over health consequences, fear of job loss, and constraints for international travels were the most overwhelming concerns. The difficulties that the coronavirus has presented continue to devastate the psychological wellbeing of individuals even where an adequate governmental system for prevention and controlling the pandemic is in place.