Case Reports in Psychiatry最新文献_第6页

Pediatric Autoimmune Neuropsychiatric Disorder Linked to Streptococcal Infections. 与链球菌感染有关的小儿自身免疫性神经精神障碍。

Case Reports in Psychiatry Pub Date : 2023-12-11 eCollection Date: 2023-01-01 DOI: 10.1155/2023/6667272

Abdullah Nasser Alqifari, Benjamin Maxwell

引用次数: 0

Clozapine Serum Concentrations Are Disrupted by SARS-CoV-2 Vaccinations. 氯氮平血清浓度被SARS-CoV-2疫苗破坏。

Case Reports in Psychiatry Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9914879

Xenia A K Kersting, Nicoletta Momtahen, Klaus Lieb

引用次数: 0

Spontaneous Bladder Rupture in a Catatonic Schizophrenia Patient. 紧张性精神分裂症患者自发性膀胱破裂。

Case Reports in Psychiatry Pub Date : 2023-11-21 eCollection Date: 2023-01-01 DOI: 10.1155/2023/4277372

Megumi Miyakoshi, Takayuki Arai, Shin Kurose, Masataka Kaji, Jun Nakane, Mitsumoto Onaya, Akihiro Koreki

引用次数: 0

Psychogenic Nonepileptic Seizures Associated with an Eating Disorder and PTSD Are Responsive to Cognitive Processing Therapy. 与进食障碍和创伤后应激障碍相关的心因性非癫痫性发作对认知加工治疗有反应。

Case Reports in Psychiatry Pub Date : 2023-11-20 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5539951

Marina G Gearhart, Timothy D Brewerton

{"title":"Psychogenic Nonepileptic Seizures Associated with an Eating Disorder and PTSD Are Responsive to Cognitive Processing Therapy.","authors":"Marina G Gearhart, Timothy D Brewerton","doi":"10.1155/2023/5539951","DOIUrl":"10.1155/2023/5539951","url":null,"abstract":"Objective: Eating disorders (EDs) are often associated with prior histories of trauma, subsequent PTSD and related psychiatric comorbidities. There is a paucity of information about their relationship to somatic symptom disorders, specifically psychogenic nonepileptic seizures (PNES), a type of functional neurological symptom disorder or conversion disorder.Methods: We report a case of a 39-year-old bisexual female with bulimia nervosa (BN), PTSD, recurrent major depressive disorder (MDD), cannabis use disorder, and PNES who responded to integrated trauma-focused treatment during residential ED treatment using cognitive processing therapy (CPT). Symptoms of ED, PTSD, major depression, and state-trait anxiety were measured using validated assessment instruments.Results: During the course of CPT treatment, the patient's total scores on the PTSD Symptom Checklist for DSM-5 (PCL-5) went from 59 to 26, which is below the diagnostic threshold for PTSD. In addition, she demonstrated improvements in the Eating Disorder Examination Questionnaire (EDE-Q) Global Severity score, the Eating Disorder Inventory (EDI-2) total score, the Patient Health Questionnaire (PHQ-9) total score, the Spielberger State and Trait Anxiety Inventory scores, and the Eating Disorder Quality of Life (EDQOL) total score. Furthermore, her PNES also abated, and she remained seizure free for ∼1 year following discharge with the exception of one short seizure, per report of the patient.Conclusion: The use of CPT as part of an integrated trauma-informed treatment approach during residential ED treatment was successful in a woman with PNES, BN, PTSD, MDD, and cannabis use disorder.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2023 ","pages":"5539951"},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10684327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138458142","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

Delirious Mania in an Elderly, Challenges in Diagnosis and Treatment. 老年人谵妄性躁狂，诊断和治疗的挑战。

Case Reports in Psychiatry Pub Date : 2023-11-16 eCollection Date: 2023-01-01 DOI: 10.1155/2023/8984062

Omkar Dhungel, Najina Shrestha, Pawan Sharma, Pankaj Pathak, Nidesh Sapkota

引用次数: 0

A Pediatric Patient with Severe Obstructive Sleep Apnea and Comorbid Depression and Substance Abuse 严重阻塞性睡眠呼吸暂停患儿伴伴抑郁和药物滥用

Case Reports in Psychiatry Pub Date : 2023-11-10 DOI: 10.1155/2023/9985503

Caitlin E. Leconte, Joshua W. Ng, Ann M. Manzardo, Mitchell M. Douglass

{"title":"A Pediatric Patient with Severe Obstructive Sleep Apnea and Comorbid Depression and Substance Abuse","authors":"Caitlin E. Leconte, Joshua W. Ng, Ann M. Manzardo, Mitchell M. Douglass","doi":"10.1155/2023/9985503","DOIUrl":"https://doi.org/10.1155/2023/9985503","url":null,"abstract":"Obstructive sleep apnea (OSA), depression, and substance abuse problems share similar symptomatology and have significant interplay. An underlying diagnosis of OSA can often be overlooked in patients with significant psychiatric illness and polysubstance use. Pediatric OSA is often associated with adenotonsillar hypertrophy and frequently requires surgical intervention for resolution of symptoms. Untreated OSA can worsen mental status and encourage polysubstance abuse as a form of self-medication. Proper identification and management of OSA plays an important role in treating psychiatric conditions. We report a 16-year-old with major depressive disorder (MDD), suicide attempts, polysubstance use disorder, and severe OSA admitted to an inpatient psychiatric facility. History included sleep and mood disturbances started at age 12. Patient presented with apnea–hypopnea index greater than 50 and started on bilevel-positive airway pressure (BiPAP) prior to admission. Management of OSA led to significant improvement of MDD, insomnia, and polysubstance abuse. OSA can often be overlooked in patients with MDD or substance abuse. Among adolescent patients with poorly managed psychiatric conditions, significant sleep disturbances, and polysubstance abuse, providers should maintain a high degree of suspicion for OSA, as its proper management will aid in the management of the other conditions.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"122 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135136469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Progressive Neuropsychiatric Symptoms Following Recurrent COVID-19 Infections in a Previously Healthy Adolescent 既往健康青少年复发性COVID-19感染后进行性神经精神症状

Case Reports in Psychiatry Pub Date : 2023-11-08 DOI: 10.1155/2023/5519051

Christopher Shawl, R. Hunter Clark, Matthew T. Edwards, Casey Berson, Megan Zappitelli

{"title":"Progressive Neuropsychiatric Symptoms Following Recurrent COVID-19 Infections in a Previously Healthy Adolescent","authors":"Christopher Shawl, R. Hunter Clark, Matthew T. Edwards, Casey Berson, Megan Zappitelli","doi":"10.1155/2023/5519051","DOIUrl":"https://doi.org/10.1155/2023/5519051","url":null,"abstract":"This is the almost 2-year-long course of a 16-year-old male without significant psychiatry history who abruptly developed symptoms of obsessive-compulsive disorder (OCD) and psychosis following a confirmed coronavirus disease 2019 (COVID-19) infection. His symptoms worsened following a confirmed reinfection with COVID-19. He responded poorly to treatment with selective serotonin reuptake inhibitors, antipsychotics, and benzodiazepines. This case highlights an emerging phenomenon of post-COVID-19 neuropsychiatric sequelae and presents a complicated diagnostic and treatment challenge. The differential for this patient was explored and outlined in detail, and the medical workup recommendations for new-onset mental status changes were reviewed as they pertain to the patient’s assessment and treatment course. While there are several case reports of adolescents with abrupt-onset OCD and psychosis symptoms following COVID-19 infections, none of these reports include worsening of symptoms following reinfection, and few reports follow patients beyond initial hospitalization and treatment.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"143 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135341508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Alcohol Withdrawal Presenting with Cut Throat Injury during COVID-19 Lockdown: Case Reports from Nepal. 新冠肺炎封锁期间出现割喉损伤的酒精戒断：尼泊尔病例报告。

Case Reports in Psychiatry Pub Date : 2023-10-27 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5514321

Dipesh Bhattarai, Shreeram Upadhyaya, Hemanta Banstola, Sagun Ballav Pant

{"title":"Alcohol Withdrawal Presenting with Cut Throat Injury during COVID-19 Lockdown: Case Reports from Nepal.","authors":"Dipesh Bhattarai, Shreeram Upadhyaya, Hemanta Banstola, Sagun Ballav Pant","doi":"10.1155/2023/5514321","DOIUrl":"https://doi.org/10.1155/2023/5514321","url":null,"abstract":"Background: The relationship between alcohol dependence and suicidal tendency is well recognized. Self-harm by cut throat is an uncommon but is potentially life-threatening when attempted. We present a description and discussion of a series of three cases of alcohol dependence syndrome who presented with self-inflicted cut throat wounds during the lockdown period from 24th March to 7th July 2020 due to the COVID-19 pandemic at the largest tertiary care hospital in Nepal. Case description. During the three and a half months of COVID-19 lockdown, we had three cases of alcohol dependence syndrome presenting to emergency services with a self-inflicted cut throat injury. Two cases were diagnosed as having alcohol withdrawal delirium and one case as alcohol-induced psychotic disorder (alcoholic hallucinosis) as per the international classification of mental and behavioral disorders diagnostic criteria for research. All three cases were alcohol dependent for more than a decade, but with no prior self-harm attempts. Necessary surgical interventions were done by the Department of Otorhinolaryngology, and in liaison with the Department of Psychiatry, appropriate psychiatric management was done. All three cases had uneventful outcomes in regard to wound care and mental disorder.Conclusion: Suicidal precautions should be taken in alcohol dependence during phases of consumption and abstinence. Screening for alcohol dependence and withdrawal should be a standard process in all self-harm cases that present to the emergency department during a crisis.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2023 ","pages":"5514321"},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10624550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71478460","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

The Discrepancy of ANA and Compartment Bead Patterns Suggestive of a Neuropsychiatry Systemic Lupus Erythematosus (NPSLE). ANA和隔室珠型的差异提示神经精神系统性红斑狼疮（NPSLE）。

Case Reports in Psychiatry Pub Date : 2023-10-26 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5260208

Munawaroh Fitriah, Lita Diah Rahmawati, Indah Adhita Wulanda, Hani Susianti, Betty Agustina Tambunan

{"title":"The Discrepancy of ANA and Compartment Bead Patterns Suggestive of a Neuropsychiatry Systemic Lupus Erythematosus (NPSLE).","authors":"Munawaroh Fitriah, Lita Diah Rahmawati, Indah Adhita Wulanda, Hani Susianti, Betty Agustina Tambunan","doi":"10.1155/2023/5260208","DOIUrl":"https://doi.org/10.1155/2023/5260208","url":null,"abstract":"Neuropsychiatric systemic lupus erythematosus (NPSLE) exhibits neurological and psychiatric manifestations in systemic lupus erythematosus (SLE) patients, which NPSLE diagnosis can be challenging for rheumatologists. An Indonesian female, 44 years old, complained of two times seizures with 10-min duration, which during seizures were stiff, eyes rolled up, foaming at the mouth, wet the bed, and fainting afterward. The patient also has a history of SLE and received cyclophosphamide therapy 5 years ago. Her clinical condition showed facial and lingual palsy, with central type on the right. Antinuclear antibody indirect immunofluorescence (ANA IF) positive using cytobead ANA with a homogenous pattern and cytoplasmic speckled titer 1/80. Confirmation beads showed positive of dsDNA only. ANA profile showed positive antinucleosome, antihistone, and AMA-M2, and also increased anticardiolipin antibody that supports the diagnosis of NPSLE. The difference in the pattern of ANA IF with confirmation beads suggests the presence of other autoantibodies in NPSLE.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2023 ","pages":"5260208"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71478461","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

From Unipolar to Bipolar: The Diagnostic Evolution in an Elderly Man. 从单极到双极：一位老年人的诊断进化。

Case Reports in Psychiatry Pub Date : 2023-10-25 eCollection Date: 2023-01-01 DOI: 10.1155/2023/6609793

Vincent John Magat Lu, Melvyn Weibin Zhang, Giles Ming-Yee Tan, Jiangbo Ying

{"title":"From Unipolar to Bipolar: The Diagnostic Evolution in an Elderly Man.","authors":"Vincent John Magat Lu, Melvyn Weibin Zhang, Giles Ming-Yee Tan, Jiangbo Ying","doi":"10.1155/2023/6609793","DOIUrl":"10.1155/2023/6609793","url":null,"abstract":"A pivotal concept in the field of mood disorders is the dichotomy between unipolar depression and bipolar disorder. Due to the unique treatment in older age bipolar disorder and the scarcity of research in this area, it is clinically important to raise the awareness of the diagnostic conversion of unipolar depression to bipolar disorder in the elderly population. We present a case of a 71-year-old Chinese man whose diagnosis was revised to bipolar disorder after 9 years of treatment for unipolar depression. Organic workup, including blood tests and brain imaging, was performed to rule out organic causes. This patient eventually responded well to the combined treatment of an antipsychotic and a mood stabilizer. This case report adds to the growing literature of challenges in identifying and managing bipolar disorder in the elderly. As unipolar depression and bipolar disorder have different disease courses and different treatment strategies, it is essential for clinicians to be aware of diagnostic conversion. Further research is needed to delineate bipolar disorder from unipolar depression in the elderly population.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2023 ","pages":"6609793"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10620020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71421021","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