['I was murdered': Cotard's syndrome due to retrotonsillar abscess].

Q4 Medicine
Marte van der Horst, Nini de Boer, Michelle Lancee, Rob van Ojen, Douwe Dekker, Fedor van Houwelingen
{"title":"['I was murdered': Cotard's syndrome due to retrotonsillar abscess].","authors":"Marte van der Horst, Nini de Boer, Michelle Lancee, Rob van Ojen, Douwe Dekker, Fedor van Houwelingen","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Cotard's syndrome is a rare and severe neuropsychiatric disorder characterized by nihilistic delusions, where patients believe they are dead or do not exist. It's often associated with depression or schizophrenia but may also occur secondary to somatic conditions such as epilepsy, brain tumors, and neurodegenerative diseases. This case involves a 30-year-old man with no prior psychiatric history, who was brought to the emergency department due to confusion and the delusion that he was dead. Examination revealed a retrotonsillar abscess. Although the patient initially lacked classic delirium features such as disorientation and hallucinations, he later developed cognitive and behavioral disturbances, leading to a diagnosis of delirium. Treatment with antibiotics and antipsychotics resulted in rapid clinical improvement and remission of the Cotard delusion. This case highlights the importance of considering delirium in the differential diagnosis of acute psychosis, even in atypical presentations, and emphasizes the need for integrated medical and psychiatric care.</p>","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"169 ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nederlands tijdschrift voor geneeskunde","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

Abstract

Cotard's syndrome is a rare and severe neuropsychiatric disorder characterized by nihilistic delusions, where patients believe they are dead or do not exist. It's often associated with depression or schizophrenia but may also occur secondary to somatic conditions such as epilepsy, brain tumors, and neurodegenerative diseases. This case involves a 30-year-old man with no prior psychiatric history, who was brought to the emergency department due to confusion and the delusion that he was dead. Examination revealed a retrotonsillar abscess. Although the patient initially lacked classic delirium features such as disorientation and hallucinations, he later developed cognitive and behavioral disturbances, leading to a diagnosis of delirium. Treatment with antibiotics and antipsychotics resulted in rapid clinical improvement and remission of the Cotard delusion. This case highlights the importance of considering delirium in the differential diagnosis of acute psychosis, even in atypical presentations, and emphasizes the need for integrated medical and psychiatric care.

[‘我被谋杀了’:扁桃体后脓肿引起的科塔尔综合症]。
科塔尔综合症是一种罕见而严重的神经精神疾病,其特征是虚无妄想,患者认为自己已经死亡或不存在。它通常与抑郁症或精神分裂症有关,但也可能继发于躯体疾病,如癫痫、脑肿瘤和神经退行性疾病。本病例涉及一名30岁男子,此前无精神病史,因神志不清和误以为自己已经死亡而被送至急诊室。检查发现扁桃体后脓肿。虽然患者最初缺乏谵妄的典型特征,如定向障碍和幻觉,但他后来出现认知和行为障碍,导致诊断为谵妄。用抗生素和抗精神病药物治疗导致科塔尔妄想的快速临床改善和缓解。本病例强调了在鉴别诊断急性精神病时考虑谵妄的重要性,即使是非典型表现,并强调了综合医疗和精神病学护理的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Nederlands tijdschrift voor geneeskunde
Nederlands tijdschrift voor geneeskunde Medicine-Medicine (all)
CiteScore
0.30
自引率
0.00%
发文量
302
期刊介绍: Het NTVG staat bekend als hét wetenschappelijke algemene medische tijdschrift. De lange historie en de degelijkheid maken het tijdschrift tot een bolwerk van medische wetenschap in druk. Ook door de goede leesbaarheid draagt het tijdschrift bij aan de voortdurende dialoog over de geneeskunde.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信