{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:59:29Z","timestamp":1787169569708,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:p>We report a young female having severe pallor and breathlessness on presentation, being diagnosed as a case of megaloblastic anemia, which was confirmed on bone marrow biopsy. On detailed history taking, she was revealed to have anorexia nervosa precipitated due to extreme fear of COVID-19 along with obsessive-compulsive disorder. Thus, a psychiatric disorder presenting due to simple phobia of COVID-19 can also have a fatal outcome in the young. Therefore, psychiatric health needs urgent attention by physicians, governments, and policymakers across the globe to prevent the surge of mental illness during the ongoing pandemic.<\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_1906_21","type":"journal-article","created":{"date-parts":[[2022,2,26]],"date-time":"2022-02-26T11:54:47Z","timestamp":1645876487000},"page":"799-801","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["COVID-19 fear-induced anorexia nervosa and obsessive-compulsive disorder leading to fatal megaloblastic anemia: Lethal psychological complication of the pandemic"],"prefix":"10.4103","volume":"11","author":[{"given":"Shivam","family":"Khanna","sequence":"first","affiliation":[{"name":"Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhruv","family":"Talwar","sequence":"additional","affiliation":[{"name":"Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sourya","family":"Acharya","sequence":"additional","affiliation":[{"name":"Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samarth","family":"Shukla","sequence":"additional","affiliation":[{"name":"Department of Pathology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,2,16]]},"reference":[{"key":"B2-20240828","first-page":"1277","article-title":"Acute suicidal psychotic illness in mentally healthy patient:Is it COVID19?","volume":"25","author":"Talwar","year":"2021","journal-title":"Med Sci"},{"key":"B3-20240828","doi-asserted-by":"crossref","first-page":"102092","DOI":"10.1016\/j.ajp.2020.102092","article-title":"Epidemic of COVID-19 in China and associated psychological problems","volume":"51","author":"Ahmed","year":"2020","journal-title":"Asian J Psychiatr"},{"key":"B4-20240828","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1309\/2Y7X-YDXK-006B-XLT2","article-title":"Bone marrow changes in anorexia nervosa are correlated with the amount of weight loss and not with other clinical findings","volume":"118","author":"Abella","year":"2002","journal-title":"Am J Clin Pathol"},{"key":"B5-20240828","doi-asserted-by":"crossref","first-page":"2215","DOI":"10.1176\/appi.ajp.161.12.2215","article-title":"Comorbidity of anxiety disorders with anorexia and bulimia nervosa","volume":"161","author":"Kaye","year":"2004","journal-title":"Am J Psychiatry"},{"key":"B6-20240828","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1016\/j.genhosppsych.2009.03.001","article-title":"Long-term psychiatric morbidities among SARS survivors","volume":"31","author":"Mak","year":"2009","journal-title":"Gen. 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