Electroconvulsive Therapy in a Renal Transplantation Patient: A Rare Combination of Disease and Treatment
The safety and efficacy of electroconvulsive therapy (ECT) for the treatment of psychiatric disorders have been demonstrated in a wide variety of patients, including postoperative patients and those who are pregnant. While several reports highlight the safety of this treatment in heart and liver tra...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Psychiatry |
| Online Access: | http://dx.doi.org/10.1155/2020/8889883 |
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| author | Giovanni Malaty Kerilyn Godbe Mehdi Elmouchtari Gurjot Malhi Justin White Azziza Bankole Tracey Criss |
| author_facet | Giovanni Malaty Kerilyn Godbe Mehdi Elmouchtari Gurjot Malhi Justin White Azziza Bankole Tracey Criss |
| author_sort | Giovanni Malaty |
| collection | DOAJ |
| description | The safety and efficacy of electroconvulsive therapy (ECT) for the treatment of psychiatric disorders have been demonstrated in a wide variety of patients, including postoperative patients and those who are pregnant. While several reports highlight the safety of this treatment in heart and liver transplantation patients, there is a relative lack of literature detailing the safety profile of ECT in an individual with recent kidney transplantation. Here, we explore the case of a patient with a recent renal transplant secondary to diabetes-related end-stage renal disease (ESRD) who underwent a successful course of ECT treatment. A 57-year-old Caucasian male with a past psychiatric history of schizoaffective disorder, bipolar type, and a past medical history of end-stage renal disease with recent right renal transplantation was admitted to the inpatient psychiatry unit. The admission was via a temporary detention order (TDO) for suicidality and auditory hallucinations promoting self-harm. The patient’s depressive and delusional history was well-documented and had been refractory to several courses of psychotherapeutic and pharmacologic management. Electroconvulsive therapy was subsequently initiated and was well-tolerated. Treatments progressively alleviated his depressive and psychotic symptoms and did not adversely affect the function of his transplanted kidney, which was closely monitored throughout the treatment process. This case demonstrated the safety and efficacy of ECT treatment in an individual with recent renal transplant and may prompt further trials into establishing safety and efficacy in larger study populations. |
| format | Article |
| id | doaj-art-7e23609cbc784186984f5477119d851b |
| institution | Kabale University |
| issn | 2090-682X 2090-6838 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Psychiatry |
| spelling | doaj-art-7e23609cbc784186984f5477119d851b2025-02-03T01:28:09ZengWileyCase Reports in Psychiatry2090-682X2090-68382020-01-01202010.1155/2020/88898838889883Electroconvulsive Therapy in a Renal Transplantation Patient: A Rare Combination of Disease and TreatmentGiovanni Malaty0Kerilyn Godbe1Mehdi Elmouchtari2Gurjot Malhi3Justin White4Azziza Bankole5Tracey Criss6Virginia Tech Carilion School of Medicine, 2 Riverside Cr, Roanoke, VA 24016, USAVirginia Tech Carilion School of Medicine, 2 Riverside Cr, Roanoke, VA 24016, USAVirginia Tech Carilion School of Medicine, 2 Riverside Cr, Roanoke, VA 24016, USACarilion Clinic Psychiatry & Behavioral Medicine, 2017 S Jefferson St, Roanoke, VA 24014, USACarilion Clinic Psychiatry & Behavioral Medicine, 2017 S Jefferson St, Roanoke, VA 24014, USACarilion Clinic Psychiatry & Behavioral Medicine, 2017 S Jefferson St, Roanoke, VA 24014, USAVirginia Tech Carilion School of Medicine, 2 Riverside Cr, Roanoke, VA 24016, USAThe safety and efficacy of electroconvulsive therapy (ECT) for the treatment of psychiatric disorders have been demonstrated in a wide variety of patients, including postoperative patients and those who are pregnant. While several reports highlight the safety of this treatment in heart and liver transplantation patients, there is a relative lack of literature detailing the safety profile of ECT in an individual with recent kidney transplantation. Here, we explore the case of a patient with a recent renal transplant secondary to diabetes-related end-stage renal disease (ESRD) who underwent a successful course of ECT treatment. A 57-year-old Caucasian male with a past psychiatric history of schizoaffective disorder, bipolar type, and a past medical history of end-stage renal disease with recent right renal transplantation was admitted to the inpatient psychiatry unit. The admission was via a temporary detention order (TDO) for suicidality and auditory hallucinations promoting self-harm. The patient’s depressive and delusional history was well-documented and had been refractory to several courses of psychotherapeutic and pharmacologic management. Electroconvulsive therapy was subsequently initiated and was well-tolerated. Treatments progressively alleviated his depressive and psychotic symptoms and did not adversely affect the function of his transplanted kidney, which was closely monitored throughout the treatment process. This case demonstrated the safety and efficacy of ECT treatment in an individual with recent renal transplant and may prompt further trials into establishing safety and efficacy in larger study populations.http://dx.doi.org/10.1155/2020/8889883 |
| spellingShingle | Giovanni Malaty Kerilyn Godbe Mehdi Elmouchtari Gurjot Malhi Justin White Azziza Bankole Tracey Criss Electroconvulsive Therapy in a Renal Transplantation Patient: A Rare Combination of Disease and Treatment Case Reports in Psychiatry |
| title | Electroconvulsive Therapy in a Renal Transplantation Patient: A Rare Combination of Disease and Treatment |
| title_full | Electroconvulsive Therapy in a Renal Transplantation Patient: A Rare Combination of Disease and Treatment |
| title_fullStr | Electroconvulsive Therapy in a Renal Transplantation Patient: A Rare Combination of Disease and Treatment |
| title_full_unstemmed | Electroconvulsive Therapy in a Renal Transplantation Patient: A Rare Combination of Disease and Treatment |
| title_short | Electroconvulsive Therapy in a Renal Transplantation Patient: A Rare Combination of Disease and Treatment |
| title_sort | electroconvulsive therapy in a renal transplantation patient a rare combination of disease and treatment |
| url | http://dx.doi.org/10.1155/2020/8889883 |
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