Acute psychosis due to brucellosis in a rural Iran: a report of two cases

Introduction: Brucellosis is a zoonotic disease that causes multi systemic involvement. Neurobrucellosis occurs in less than 5% of patients. Psychosis as a presentation of neuro-brucellosis is a rare condition. Case Report: We report a woman that was referred because of psychotic depression following brucellosis. Also we present a 66-year-old man that was admitted because of acute psychotic symptoms. He had behavioral disorders, visual and auditory hallucination, restlessness, impulsivity, incoherency and episodic crying. Neurobrucellosis was confirmed. Conclusion: In patients with atypical psychosis in endemic areas, physicians should consider the portability of brucellosis. DOI: http://doi.dx.org/10.3126/ijim.v2i1.8007 Int J Infect Microbiol 2013;2(1):29-31

Download Full-text

Persistent delusional theme over 13 episodes of psychotic depression

Acta Neuropsychiatrica ◽

10.1017/neu.2013.33 ◽

2013 ◽

Vol 25 (6) ◽

pp. 370-373 ◽

Cited By ~ 8

Author(s):

Søren Dinesen Østergaard ◽

Anne Katrine K. Leadholm ◽

Anthony J. Rothschild

Keyword(s):

Case Report ◽

Electroconvulsive Therapy ◽

Case Reports ◽

Psychotic Symptoms ◽

Psychotic Depression ◽

Medical File ◽

Course Of Illness ◽

Clinical Phenomenon ◽

Initial Episode ◽

Multiple Episodes

ObjectiveUnipolar psychotic depression (PD) is a highly debilitating condition, which needs intense monitoring and treatment. Among patients with recurrent PD, delusions tend to be very similar or identical over several separate episodes during the course of illness, but case reports illustrating this clinical phenomenon in detail are lacking from the literature.MethodsCase report describing the 45-year-old Ms. J, who has experienced multiple episodes of PD. The report is based on a review of her medical file.ResultsThe delusional theme of Ms. J's initial episode of PD reappeared at several subsequent episodes. During the majority of admissions, Ms. J was treated with electroconvulsive therapy, which resulted in significant improvement in the depressive, psychotic and catatonic features.ConclusionMs. J's case illustrates that PD can be a stable phenotype over many episodes and that it is important to recognise psychotic symptoms in order to prescribe the best possible treatment.

Download Full-text

Myxedema Psychosis after Levothyroxine Withdrawal in Radioactive Iodine Treatment of Differentiated Thyroid Cancer: A Case Report

Case Reports in Oncology ◽

10.1159/000520128 ◽

2021 ◽

pp. 1596-1600

Author(s):

Nutnicha Pattaravimonporn ◽

Thanat Chaikijurajai ◽

Wichana Chamroonrat ◽

Chutintorn Sriphrapradang

Keyword(s):

Radioactive Iodine ◽

Auditory Hallucination ◽

Neuropsychiatric Symptoms ◽

Hormone Replacement ◽

Signs And Symptoms ◽

Psychotic Symptoms ◽

Acute Psychosis ◽

Paranoid Delusion ◽

Thyroid Hormone Replacement Therapy ◽

Iodine Treatment

Neuropsychiatric symptoms, especially acute psychosis (often referred to as myxedema madness or psychosis), are rare but possible clinical presentations of patients with hypothyroidism. A 42-year-old woman with papillary thyroid carcinoma and recent total thyroidectomy had developed flat affect, paranoid delusion, and visual and auditory hallucination during inpatient admission for elective radioactive iodine treatment. On admission, her history and physical exam did not reveal symptoms and signs of significant hypothyroidism. Other medical causes of acute psychosis were excluded, and the patient was immediately treated with thyroid hormone replacement therapy. Subsequently, her thyroid function normalized, and her psychotic symptoms gradually improved. Although there is a lack of classic signs and symptoms of hypothyroidism, myxedema madness should be recognized as one of the potentially treatable causes of acute psychosis.

Download Full-text

Dissociative Amnesia with Dissociative Fugue and Psychosis: a Case Report from a 25-Year-Old Ethiopian Woman

Case Reports in Psychiatry ◽

10.1155/2020/3281487 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Liyew Agenagnew ◽

Elias Tesfaye ◽

Selamawit Alemayehu ◽

Mathewos Masane ◽

Tilahun Bete ◽

...

Keyword(s):

Case Report ◽

Psychotic Disorders ◽

Traumatic Event ◽

Auditory Hallucination ◽

Signs And Symptoms ◽

Clinical Findings ◽

Therapeutic Interventions ◽

Psychotic Symptoms ◽

Dissociative Amnesia ◽

Scientific World

Introduction. The case after exposure to intense traumatic events manifests signs and symptoms of dissociative amnesia with a dissociative fugue and schizophrenia. The psychotic symptoms we found, in this case, were very complicated and mimicking primary psychotic disorders. Therefore, this might be a good forum for the scientific world to learn from this case report, how psychotic disorders coexist with dissociative disorders, since the literatures in this area are too rare. Main Symptoms and/or Important Clinical Findings. This case report focuses on the case of dissociative amnesia with dissociative fugue and psychosis in a 25-year-old Ethiopian female who lost her husband and three children at the same time during the nearby ethnic conflict. Associated with amnesia, she lost entire autobiographical information, and she also had psychotic symptoms like delusions and auditory hallucination which is related to the traumatic event she faced. The Main Diagnoses, Therapeutic Interventions, and Outcomes. The diagnosis of dissociative amnesia with a dissociative fugue comorbid with schizophrenia was made, and both pharmacological and psychological interventions were given to the patient. After the intervention, the patient had a slight improvement regarding psychotic symptoms but her memory problem was not restored. Conclusions. The observation in this case report brings to the fore that individuals with dissociative amnesia with dissociative fugue can have psychotic symptoms, and it takes a longer time to recover from memory disturbances.

Download Full-text

Brucella-Induced Acute Psychosis: A Novel Cause of Acute Psychosis

Case Reports in Infectious Diseases ◽

10.1155/2021/6649717 ◽

2021 ◽

Vol 2021 ◽

pp. 1-4

Author(s):

Chi-Chi Obuaya ◽

Gayathri Thivyaa Gangatharan ◽

Efthimia Karra

Keyword(s):

Case Report ◽

East Asia ◽

General Hospital ◽

Psychotic Symptoms ◽

South East Asia ◽

Acute Psychosis ◽

Organic Psychosis ◽

Quadrant Pain ◽

Serological Tests ◽

Case Presentation

Background. Infections have long been linked to psychosis and categorised within “secondary” psychoses. To date, there have been few reports of psychosis linked to brucellosis. This case report aims to present one such case. Case Presentation. A 31-year-old man was admitted to a general hospital with pyrexia, severe right upper quadrant pain, and an acute psychosis following a two-week holiday in South East Asia and the Mediterranean. Serological tests revealed that he had brucellosis. Following antibiotic treatment, the psychotic symptoms abated and he was discharged within ten days of hospitalisation. Conclusions. This case of organic psychosis highlights the importance of considering brucellosis as a rare cause of acute psychosis. The exact mechanism of Brucella-induced psychosis remains unclear.

Download Full-text

Primary Solitary Hydatid Cyst of Brain in a 12-Year-Old Boy: A Case Report

Iranian Journal of Parasitology ◽

10.18502/ijpa.v14i4.2121 ◽

2019 ◽

Author(s):

Naeem RAVANBAKHSH ◽

Navid RABIEE ◽

Jalal AHMADI

Keyword(s):

Case Report ◽

Hydatid Cyst ◽

Unusual Case ◽

Rare Condition ◽

Zoonotic Disease ◽

Organ Involvement ◽

Diagnosis And Management ◽

Life Threatening ◽

Proper Diagnosis ◽

Intracranial Hydatid Cyst

Hydatidosis is a zoonotic disease caused by Echinococcus parasite that frequently involves liver and lungs. Primary intracranial hydatidosis is a rare condition which can be life threatening if ruptured. Here we report an unusual case of primary intracranial hydatid cyst without any other organ involvement, diagnosed in a 12-year-old boy in Emam Reza hospital, Birjand, Iran in November 2016, in order to focus on the importance of proper diagnosis and management, especially in endemic areas.

Download Full-text

Cognitive approach to depression and suicidal thinking in psychosis

The British Journal of Psychiatry ◽

10.1192/bjp.177.6.516 ◽

2000 ◽

Vol 177 (6) ◽

pp. 516-521 ◽

Cited By ~ 173

Author(s):

Max Birchwood ◽

Zaffer Iqbal ◽

Paul Chadwick ◽

Peter Trower

Keyword(s):

Negative Symptoms ◽

De Novo ◽

Psychotic Symptoms ◽

Psychotic Episode ◽

Positive Symptoms ◽

Psychotic Depression ◽

Acute Psychosis ◽

Concomitant Increase ◽

Cognitive Approach ◽

Icd 10

BackgroundDepression in schizophrenia is a rather neglected field of study, perhaps because of its confused nosological status. Three course patterns of depression in schizophrenia, including post-psychotic depression (PPD), are proposed.AimsWe chart the ontogeny of depression and psychotic symptoms from the acute psychotic episode over a 12-month period and test the validity of the proposed course patterns.MethodOne hundred and five patients with ICD–10 schizophrenia were followed up on five occasions over 12 months following the acute episode, taking measures of depression, positive symptoms, negative symptoms, neuroleptic exposure and side-effects.ResultsDepression accompanied acute psychosis in 70% of cases and remitted in line with the psychosis; 36% developed PPD without a concomitant increase in psychotic symptoms.ConclusionsThe results provided support for the validity of two of the three course patterns of depression in schizophrenia, including PPD. Post-psychotic depression occurs de novo without concomitant change in positive or negative symptoms.

Download Full-text

Psychogenic Polydipsia: The Result, or Cause of, Deteriorating Psychotic Symptoms? A Case Report of the Consequences of Water Intoxication

Case Reports in Psychiatry ◽

10.1155/2015/846459 ◽

2015 ◽

Vol 2015 ◽

pp. 1-3 ◽

Cited By ~ 5

Author(s):

Melissa Gill ◽

MacDara McCauley

Keyword(s):

Case Report ◽

Cerebral Oedema ◽

Psychiatric Patients ◽

Rare Condition ◽

Water Intoxication ◽

Psychotic Symptoms ◽

Muscular Weakness ◽

Psychogenic Polydipsia ◽

Clonic Seizures ◽

Eventual Death

Water intoxication is a rare condition characterised by overconsumption of water. It can occur in athletes engaging in endurance sports, users of MDMA (ecstasy), and patients receiving total parenteral nutrition. This case outlines water intoxication in a patient with psychogenic polydipsia. When the kidney’s capacity to compensate for exaggerated water intake is exceeded, hypotonic hyperhydration results. Consequences can involve headaches, behavioural changes, muscular weakness, twitching, vomiting, confusion, irritability, drowsiness, and seizures. Cerebral oedema can lead to brain damage and eventual death. In this case, psychogenic polydipsia led to significant hyponatraemia, cerebral oedema, and tonic-clonic seizures. Differential diagnoses for hyponatraemia are outlined. The aetiology of psychogenic polydipsia is uncertain, but postulated hypotheses are explored. Psychogenic polydipsia occurs in up 20% of psychiatric patients and this case serves to remind us to be cognizant of water overconsumption.

Download Full-text

Fournier's gangrene as Amyand's hernia complication

Perspectives in Surgery ◽

10.33699/pis.2019.98.7.291-296 ◽

2019 ◽

Vol 98 (7) ◽

pp. 291-296

Keyword(s):

Case Report ◽

Case Reports ◽

Rare Condition ◽

Sporadic Case ◽

Fournier’S Gangrene ◽

Amyand’S Hernia ◽

Fournier's Gangrene ◽

Randomized Controlled Studies ◽

Based Medicine ◽

Hernia Complication

Introduction: Fournier’s gangrene is a rare but fast deteriorating and serious condition with high mortality. In most cases, it is characterized as necrotizing fasciitis of the perineum and external genitals. Amyand’s hernia is a rare condition where the appendix is contained in the sac of an inguinal hernia. Inflammatory alterations in the appendix account only for 0.1 % of the cases when Amyand’s hernia is verified. Fournier’s gangrene as a complication of a late diagnosis of appendicitis located in the inguinal canal is described in the literature as rare case reports. Case report: The case report of a 70-year-old patient with Fournier’s gangrene resulting from gangrenous appendicitis of Amyand’s hernia. Conclusion: Fournier’s gangrene as a complication of Amyand’s hernia is a rare condition. Only sporadic case reports thereof can be found in the literature. Because of the rarity of this pathology and the lack of randomized controlled studies, it is difficult to determine the optimal treatment according to the principles of evidence-based medicine. An appropriate approach for this condition appears to be the combination of guidelines developed in Amyand’s therapy according to Losanoff and Basson, along with the recommended “gold standard” therapy for Fournier’s gangrene. This means early and highly radical surgical debridement, adequate antibiotic therapy and intensive care.

Download Full-text