Homicide and Associated Steroid Acute Psychosis: A Case Report
We report the case of an old man treated with methylprednisolone for chronic lymphoid leukemia. After two months of treatment, he declared an acute steroid psychosis and beat his wife to death. Steroids were stopped and the psychotic symptoms subsided, but his condition declined very quickly. The cl...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2011/564521 |
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| _version_ | 1832564103883784192 |
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| author | G. Airagnes C. Rouge-Maillart J.-B. Garre B. Gohier |
| author_facet | G. Airagnes C. Rouge-Maillart J.-B. Garre B. Gohier |
| author_sort | G. Airagnes |
| collection | DOAJ |
| description | We report the case of an old man treated with methylprednisolone for chronic lymphoid leukemia. After two months of treatment, he declared an acute steroid psychosis and beat his wife to death. Steroids were stopped and the psychotic symptoms subsided, but his condition declined very quickly. The clinical course was complicated by a major depressive disorder with suicidal ideas, due to the steroid stoppage, the leukemia progressed, and by a sudden onset of a fatal pulmonary embolism. This clinical case highlights the importance of early detection of steroid psychosis and proposes, should treatment not be stopped, a strategy of dose reduction combined with a mood stabilizer or antipsychotic treatment. In addition have been revised the risks of the adverse psychiatric effects of steroids. |
| format | Article |
| id | doaj-art-0c746925175f47f6b8645a5135ceb4d2 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-0c746925175f47f6b8645a5135ceb4d22025-02-03T01:11:46ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/564521564521Homicide and Associated Steroid Acute Psychosis: A Case ReportG. Airagnes0C. Rouge-Maillart1J.-B. Garre2B. Gohier3Service de Médecine Légale, CHU d'Angers, 49933 Angers Cedex 09, FranceService de Médecine Légale, CHU d'Angers, 49933 Angers Cedex 09, FranceDépartement de Psychiatrie et de Psychologie médicale, CHU d'Angers, 49933 Angers Cedex 09, FranceDépartement de Psychiatrie et de Psychologie médicale, CHU d'Angers, 49933 Angers Cedex 09, FranceWe report the case of an old man treated with methylprednisolone for chronic lymphoid leukemia. After two months of treatment, he declared an acute steroid psychosis and beat his wife to death. Steroids were stopped and the psychotic symptoms subsided, but his condition declined very quickly. The clinical course was complicated by a major depressive disorder with suicidal ideas, due to the steroid stoppage, the leukemia progressed, and by a sudden onset of a fatal pulmonary embolism. This clinical case highlights the importance of early detection of steroid psychosis and proposes, should treatment not be stopped, a strategy of dose reduction combined with a mood stabilizer or antipsychotic treatment. In addition have been revised the risks of the adverse psychiatric effects of steroids.http://dx.doi.org/10.1155/2011/564521 |
| spellingShingle | G. Airagnes C. Rouge-Maillart J.-B. Garre B. Gohier Homicide and Associated Steroid Acute Psychosis: A Case Report Case Reports in Medicine |
| title | Homicide and Associated Steroid Acute Psychosis: A Case Report |
| title_full | Homicide and Associated Steroid Acute Psychosis: A Case Report |
| title_fullStr | Homicide and Associated Steroid Acute Psychosis: A Case Report |
| title_full_unstemmed | Homicide and Associated Steroid Acute Psychosis: A Case Report |
| title_short | Homicide and Associated Steroid Acute Psychosis: A Case Report |
| title_sort | homicide and associated steroid acute psychosis a case report |
| url | http://dx.doi.org/10.1155/2011/564521 |
| work_keys_str_mv | AT gairagnes homicideandassociatedsteroidacutepsychosisacasereport AT crougemaillart homicideandassociatedsteroidacutepsychosisacasereport AT jbgarre homicideandassociatedsteroidacutepsychosisacasereport AT bgohier homicideandassociatedsteroidacutepsychosisacasereport |