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Catatonia Associated with Hyperthyroidism: An Illustrative Case and Systematic Review of Published Cases.
J Acad Consult Liaison Psychiatry
November 2024
Inova Behavioral Health Services, Inova Fairfax Medical Campus, Falls Church, VA.
Background: Catatonia is a frequently missed diagnosis on medical wards, delaying effective treatment or permitting accidental use of neuroleptics that can exacerbate the condition. Thyroid storm has rarely been associated with catatonia in case reports, with no prior reviews synthesizing this research.
Objective: We present a case of catatonia during thyroid storm following administration of low-dose haloperidol, followed by a review of previously published cases and discussion of their common factors and potential mechanisms.
Cerebral Brain Abscess Mimicking Psychiatric Presentation in an HIV-Positive Patient With Post-traumatic Stress Disorder and Bipolar Disorder: A Case Report.
Cureus
October 2024
Behavioral Health, Kings County Hospital Center, New York, USA.
Article Synopsis
- - Cerebral brain abscesses are rare but serious, especially in immunocompromised people, and can often imitate psychiatric disorders, complicating their diagnosis.
- - A case study involves a 47-year-old HIV-positive woman with a psychiatric history who showed unusual symptoms like catatonia, leading to a diagnosis of a large brain abscess after imaging revealed significant issues.
- - The patient received immediate treatment, including surgery, and showed improvement, highlighting the need for thorough diagnostic procedures and multidisciplinary care in similar cases to ensure better health outcomes.
Wernicke's Encephalopathy (WE) Associated with Hyperemesis Gravidarum (HG) Presenting with Psychiatric Morbidity: Description of Two Cases.
Indian J Psychol Med
August 2024
Dept. of Gastroenterology, Post Graduate Institute of Medical Education & Research, Chandigarh, India.
Background: Hyperemesis gravidarum (HG) refers to intractable vomiting during pregnancy and is rarely associated with Wernicke's encephalopathy (WE). HG-associated WE can lead to mortality and permanent cognitive impairment if left untreated. In this report, we present two cases of WE following HG occurring in the context of comorbid severe depression.
View Article and Find Full Text PDFPregnant Women Presenting to Psychiatric Emergency Services: A Retrospective Chart Review from India.
Indian J Psychol Med
September 2024
Dept. of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Hosur Road, Bengaluru, Karnataka, India.
Background: Managing psychiatric emergencies during pregnancy is often challenging, as the safety of both the mother and the unborn fetus needs to be considered. This study aimed to examine the nature of psychiatric emergencies in pregnancy, their management, and clinical outcomes in women presenting to a psychiatry emergency room (ER).
Methods: Charts of perinatal women consulting psychiatry ER between January 2016 and June 2021 were reviewed for the nature of the psychiatric emergency, pregnancy details, psychiatric symptoms, sociodemographic information, medical comorbidities, clinical diagnosis, and care plan.
Catatonia as a debut of systemic lupus erythematosus: a case report on a diagnostic challenge.
Int Clin Psychopharmacol
November 2024
Psychiatry and Psychology Department.
Systemic lupus erythematosus (SLE) is an autoimmune disorder characterized by a wide variety of symptoms, including frequent neurological and psychiatric symptomatology. Psychiatric symptoms encountered in SLE are frequent, between 37 and 95% of SLE patients present them, can appear at any point in the course of the disease and may include almost any type of disorder. We present the case of a 32-year-old woman who presented an SLE debut with catatonic symptoms without previous psychiatric history, representing a diagnostic and therapeutic challenge given that the diagnosis was initially wrongly filtered out and required up to three hospital admissions in a row to reach a proper diagnosis and treatment.
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