Nicaraguan President Daniel Ortega re-emerged after 55 days out of public view to launch a personal attack on US President Donald Trump, calling him "mentally deranged" and saying he had "lost his head." The outburst, delivered on April 20 in Managua, ended an informal truce during which Ortega and his co-president Rosario Murillo had avoided mentioning Trump by name while quietly offering concessions to Washington — including releasing some political prisoners and dismantling a migrant transit hub — in an attempt to ease US pressure. The tirade came just days after Washington imposed new sanctions on two of the couple's sons and other regime figures, and analysts say it signals that Ortega has miscalculated, betting that Trump will be too preoccupied with Iran and Cuba to focus on Nicaragua.