Cortico-induced psychotic episode: a case report.
In: European Psychiatry, Jg. 63 (2020-07-02), S. S547
Online
academicJournal
Zugriff:
Introduction: Corticosteroids have seen their prescription expand in different medical disciplines. However, their therapeutic effects in multiple pathologies are obtained at the cost of equally varied side effects Psychiatric side effects secondary to corticoide have been described for a long time. Objectives: To describe the cortico-induced psychiatric manifestations. Methods: A patient case is presented with associated literature review. Results: Ms M.K aged 35 years old, without medical history, admitted to the gastroenterology department since 5 days to manage a first episode of hemorrhagic rectocolitis. M.K was treated with hydrocortisone hemisuccinate in high doses. At the 3rd day of treatment, M.K presented irritability, anxiety and insomnia, then auditory and visual hallucinations and delusions of persecution. The diagnosis of acute psychotic episode was retained. Thus, the patient was put on resperidone with a progressive degression of corticosteroids then a switch to 5 ASA. The treatment was well tolerated and allowed a rapid amendment of psychiatric symptomatology after one week. The antipsychotic was maintained in outpatient follow-up for six months. Conclusions: Informing health care teams, patients and their families about the possibility of psychiatric side effects related to corticosteroids would allow early detection and management and avoid the occurrence of serious disorders. [ABSTRACT FROM AUTHOR]
Copyright of European Psychiatry is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Titel: |
Cortico-induced psychotic episode: a case report.
|
---|---|
Autor/in / Beteiligte Person: | Kabtni, W. ; Baatout, A. ; Rebai, A. ; Ben Cheikh, C. ; El Kefi, H. ; Oumaya, A. |
Link: | |
Zeitschrift: | European Psychiatry, Jg. 63 (2020-07-02), S. S547 |
Veröffentlichung: | 2020 |
Medientyp: | academicJournal |
ISSN: | 0924-9338 (print) |
Schlagwort: |
|
Sonstiges: |
|