Case Reports in Psychiatry最新文献_第2页

Rastafarianism: When Religious Beliefs Conflict With Medical Necessity-A Case Report and Review of the Literature Around an Ethically Complicated Case. 拉斯塔法里：当宗教信仰与医疗需要相冲突时——一个案例报告和围绕一个伦理复杂案例的文献综述。

Case Reports in Psychiatry Pub Date : 2025-03-18 eCollection Date: 2025-01-01 DOI: 10.1155/crps/6621450

Matthew Flick, Casey Martinez, David C Fipps

{"title":"Rastafarianism: When Religious Beliefs Conflict With Medical Necessity-A Case Report and Review of the Literature Around an Ethically Complicated Case.","authors":"Matthew Flick, Casey Martinez, David C Fipps","doi":"10.1155/crps/6621450","DOIUrl":"10.1155/crps/6621450","url":null,"abstract":"Background: Rastafarianism maintains that cannabis is a sacred element of the religious practice, and followers of the religion traditionally engage cautiously with western medicine. This case involves Mr. I, a 72-year-old Rastafari male with acute myelogenous leukemia (AML) and hepatic decompensation, who developed delirium with psychotic features which were initially managed with quetiapine. His family expressed concerns with psychotropic medications and requested using dronabinol, a synthetic cannabinoid, to manage his symptoms considering the spiritual significance of cannabinoids in the Rastafari culture. The psychiatry team's dissenting recommendations regarding dronabinol was met with resistance, and the family voiced that they felt their religious beliefs were not being respected and considered bringing in their own marijuana products. Following an ethics consultation, a compromise was reached to trial low-dose dronabinol. However, Mr. I's symptoms worsened, prompting discontinuation of dronabinol and management with olanzapine. Discussion: This case exemplifies the complexities of clinical care when religious beliefs conflict with medical necessity. We discuss the limited indications for dronabinol and potential adverse effects on delirium's behavioral symptoms. Concerns about fungal sensitization from cannabinoid products in the context of immunosuppressive chemotherapy and the effects of cannabinoids on hepatic dysfunction are also explored. Moreover, we emphasize the importance of cultural sensitivity for Rastafari individuals who view marijuana as sacred and therapeutic. Balancing cultural and religious sensitivity with ethical, evidence-based medicine through a thorough discussion of risks and benefits is essential for optimal decision-making in such ethical dilemmas.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2025 ","pages":"6621450"},"PeriodicalIF":0.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychosis After Mild Traumatic Brain Injury and the Role of an Integrated Brain Medicine Clinic. 轻度创伤性脑损伤后精神病及综合脑医学门诊的作用。

Case Reports in Psychiatry Pub Date : 2025-03-09 eCollection Date: 2025-01-01 DOI: 10.1155/crps/8175418

Carl Froilan D Leochico, Adrian I Espiritu, Sarah E Levitt, Sabrina Lemire-Rodger, Meiqi Guo, Sara B Mitchell

引用次数: 0

Early Detection of Adverse Drug Events via 24-h Telephone Services in a Community Pharmacy: A Case Report. 通过24小时电话服务在社区药房早期发现药物不良事件：一个案例报告。

Case Reports in Psychiatry Pub Date : 2025-02-18 eCollection Date: 2025-01-01 DOI: 10.1155/crps/6614727

Masaki Maehara, Masayasu Sugiyama

{"title":"Early Detection of Adverse Drug Events via 24-h Telephone Services in a Community Pharmacy: A Case Report.","authors":"Masaki Maehara, Masayasu Sugiyama","doi":"10.1155/crps/6614727","DOIUrl":"10.1155/crps/6614727","url":null,"abstract":"A 57-year-old woman with bipolar disorder (BD) was started on combination therapy with aripiprazole and lithium. At the same time, a community pharmacist administered follow-up through 24-h telephone services for the early detection of adverse events. Four days after starting therapy, the patient called a community pharmacy after working hours and mentioned the occurrence of disabilities, possibly due to adverse effects, including extrapyramidal symptoms (EPSs), to the pharmacist who received the forwarded call. The community pharmacist immediately called the hospital to report the patient's problems and suggested a decrease in doses or withdrawal of the suspected medications to the prescribing doctor. After several hours, the hospital called and informed the pharmacist that the doctor had instructed the patient to discontinue aripiprazole. The pharmacist immediately called the patient, explained the doctor's instructions, and found that the EPS symptoms improved gradually, except for difficulty speaking smoothly. Ultimately, valproic acid was prescribed instead of lithium, resulting in a dramatic improvement in speech difficulties. These results indicate that community pharmacist-administered follow-up and intervention, especially through 24-h telephone services, is crucial for drug safety management, such as early detection of adverse events caused by combination therapy in patients with BD.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2025 ","pages":"6614727"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11858701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Potential Drug Interaction Between Liraglutide and Clonazepam: A Case Report. 利拉鲁肽与氯硝西泮之间潜在的药物相互作用：1例报告。

Case Reports in Psychiatry Pub Date : 2025-02-11 eCollection Date: 2025-01-01 DOI: 10.1155/crps/9100558

Ali Kheradmand, Amir Mehrvar, Mohammad Abbasinazari

引用次数: 0

Challenges in the Repatriation Processes of a Foreign Citizen With Schizophrenia: A Case Report From Tanzania. 一名患有精神分裂症的外国公民遣返过程中的挑战：来自坦桑尼亚的一例报告。

Case Reports in Psychiatry Pub Date : 2025-02-05 eCollection Date: 2025-01-01 DOI: 10.1155/crps/3483266

Frank Kiwango

引用次数: 0

High Prescribing: A Case Study of High-Potency Medicinal Cannabis Inducing Psychosis. 高处方：强效药用大麻诱发精神病个案研究。

Case Reports in Psychiatry Pub Date : 2024-12-07 eCollection Date: 2024-01-01 DOI: 10.1155/crps/8870476

Richard C J Bradlow, Sophie Wright, Anamaria Szrajbman Vaz Da Silva, Ferghal Armstrong

{"title":"High Prescribing: A Case Study of High-Potency Medicinal Cannabis Inducing Psychosis.","authors":"Richard C J Bradlow, Sophie Wright, Anamaria Szrajbman Vaz Da Silva, Ferghal Armstrong","doi":"10.1155/crps/8870476","DOIUrl":"10.1155/crps/8870476","url":null,"abstract":"Introduction: There has been a recent significant increase in medical cannabis prescribing in Australia despite weak evidence for its effectiveness in treating the most common indications. Concern has been raised about the potential harms of inappropriate prescription of cannabis; however, there have been no prior published cases of psychosis secondary to medicinal cannabis in Australia. Case Presentation: We present a case of a 21-year-old Indigenous male with psychosis following switching from illicitly obtained cannabis to prescription cannabis, which resulted in Othello delusions towards his partner, violence towards her and ultimately an attempt to end his life. Discussion: Cannabis use is linked to the development of a psychotic illness whether it is prescribed or obtained illicitly. People who are prescribed cannabis are also at an elevated risk of developing cannabis use disorder (CUD). Cannabis prescribers need to screen for risk factors of drug-induced psychosis such as a family member with a psychotic illness, review patients regularly and provide harm minimisation advice to prevent damage from their prescription. Conclusion: There are clear dangers to overprescribing medicinal cannabis and the care that needs to be taken by prescribers to avoid them. There is a need for a change in the regulation of cannabis prescribing in Australia. Further research is warranted on the effects of the increase in prevalence of cannabis prescribing.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2024 ","pages":"8870476"},"PeriodicalIF":0.0,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11646144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Doxazosin Immediate Release as a Novel Treatment for Nightmares in Posttraumatic Stress Disorder. 多沙唑嗪即刻释放治疗创伤后应激障碍恶梦的新方法。

Case Reports in Psychiatry Pub Date : 2024-11-26 eCollection Date: 2024-01-01 DOI: 10.1155/crps/6452923

Danyaal Khan, Christie Richardson, Martin Forsberg

引用次数: 0

Tolerance of Bupropion SR After Delayed-Onset Urticaria and Angioedema Associated With Bupropion XL. 安非他酮 XL 引起的迟发性荨麻疹和血管性水肿后对安非他酮 SR 的耐受性。

Case Reports in Psychiatry Pub Date : 2024-10-23 eCollection Date: 2024-01-01 DOI: 10.1155/2024/6638911

Faisal R Elali, Arthur C Grant

{"title":"Tolerance of Bupropion SR After Delayed-Onset Urticaria and Angioedema Associated With Bupropion XL.","authors":"Faisal R Elali, Arthur C Grant","doi":"10.1155/2024/6638911","DOIUrl":"10.1155/2024/6638911","url":null,"abstract":"Bupropion is an atypical antidepressant indicated for the treatment of major depressive disorder (MDD), seasonal affective disorder (SAD), and smoking cessation. It is also used off-label for attention deficit hyperactivity disorder (ADHD). Its mechanism of action includes the selective norepinephrine and dopamine reuptake inhibitor (NDRI). The drug is available in immediate-release (IR), sustained-release (SR), and extended-release (XL) formulations. Common side effects are typically mild and include anxiety, insomnia, headache, dizziness, constipation, and nausea. Rarely, cutaneous hypersensitivity reactions may occur. We describe a 23-year-old man who developed severe and diffuse urticaria and angioedema 4 weeks after initiation of bupropion XL for MDD and ADHD. The bupropion was stopped, and he was treated with levocetirizine, diphenhydramine (oral and topical), and methylprednisolone with complete resolution of his symptoms within 2 weeks. Due to a good initial therapeutic response to the medication, a trial of bupropion SR was initiated. The patient again had a favorable therapeutic response without any dermatologic side effects.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2024 ","pages":"6638911"},"PeriodicalIF":0.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11524701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Delusional Parasitosis in Comorbidity With Shared Paranoid Disorder in a Marriage. 妄想性寄生虫病与婚姻中共同的偏执性障碍合并症。

Case Reports in Psychiatry Pub Date : 2024-09-26 eCollection Date: 2024-01-01 DOI: 10.1155/2024/6728600

Jonatan Escobar-Herrera, Gibran Raymundo León-Gallegos, Omar E Valencia-Ledezma, Rafael García-Rascon, Nicolás Santiago-González

{"title":"Delusional Parasitosis in Comorbidity With Shared Paranoid Disorder in a Marriage.","authors":"Jonatan Escobar-Herrera, Gibran Raymundo León-Gallegos, Omar E Valencia-Ledezma, Rafael García-Rascon, Nicolás Santiago-González","doi":"10.1155/2024/6728600","DOIUrl":"10.1155/2024/6728600","url":null,"abstract":"Delusional parasitosis is a psychotic disorder where the patient has the delusion of being infested with some insect or parasite. In contrast, shared paranoid disorder or folie à deux is described when the same delusions affect two or more closely related people. It is common for these two situations to cause comorbidity in the family unit. This case report concerns a couple married for 37 years. The husband described that 2 years ago, he began with a tingling sensation throughout his body, related to the presence of parasites coming out from all his body orifices, with no evidence of self-harm. Likewise, the wife reported symptoms of formication and the feeling that there were invisible animals, as mentioned by her husband, and that she felt the parasites running throughout her body. The husband was diagnosed with endoparasitic delusional parasitosis, which caused folie à deux in his wife due to ectoparasitic parasitosis. The patient's treatment included sertraline and risperidone in oral dosage lasting 3 months reducing delirium, later biperidene was prescribed due to main treatment's side effects such as akathisia and sialorrhea, however the patient could not take the medication due to economic reasons. The wife was asked to sleep in a separate room, and she reported that the sensory hallucinations disappeared as soon as she slept in a different room. We conclude that the pharmacological approach, the intervention in the family life, and the gradual reintegration of marital habits once the patient improves are crucial in the therapy of delusional disorder.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2024 ","pages":"6728600"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11449551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Boy With KIF11-Associated Disorder Along With ADHD and ASD: Collaboration Between Paediatrics and Child Psychiatry. 一名患有 KIF11 相关障碍并伴有多动症和自闭症的男孩：儿科与儿童精神病学的合作。

Case Reports in Psychiatry Pub Date : 2024-09-25 eCollection Date: 2024-01-01 DOI: 10.1155/2024/5535830

Annelien Marcelis, Evelyne Van Reet

{"title":"A Boy With KIF11-Associated Disorder Along With ADHD and ASD: Collaboration Between Paediatrics and Child Psychiatry.","authors":"Annelien Marcelis, Evelyne Van Reet","doi":"10.1155/2024/5535830","DOIUrl":"10.1155/2024/5535830","url":null,"abstract":"Kinesin family member 11 (KIF11)-associated disorder, a rare condition caused by autosomal dominant mutations in the KIF11 gene, presents with microcephaly, chorioretinal dysplasia, lymphoedema, and varying degrees of intellectual disability. While intellectual disability is often described in the literature on KIF11 mutations, autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD) are only mentioned by a few authors but not thoroughly investigated. We present a case report of an 8-year-old boy with KIF11-associated disorder alongside ADHD and ASD but without intellectual disability. Genetic testing confirmed a KIF11 mutation. Cognitive, language, and motor assessments revealed delays in fine motor skills and attention deficits. The diagnosis of ADHD was confirmed by a child neurologist through multidisciplinary investigations, while the ASD diagnosis was established by a child psychiatrist. Despite the challenges of delayed psychiatric assessment, interventions including physiotherapy and medication management were initiated with positive results. We designed a parent support group survey that showed a higher prevalence of neurodevelopmental disorders in children with KIF11 mutations compared to the general population. Therefore, low-threshold referrals to a child psychiatrist have to be made when the potential presence of developmental problems is suspected. Collaboration between ophthalmologists, paediatricians, and child psychiatrists is crucial for early detection and intervention. Addressing developmental disorders promptly improves long-term outcomes and enhances quality of life. Moreover, gaining a deeper understanding of the higher prevalence of ASD and ADHD in individuals with KIF11 mutations could offer valuable insights into the genetic mechanisms underlying neurodevelopmental disorders.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2024 ","pages":"5535830"},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11446612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0