Nejad A G, Toofani K
Beheshti Hospital, Kerman, Iran.
Acta Psychiatr Scand. 2005 Mar;111(3):250-2; discussion 252. doi: 10.1111/j.1600-0447.2004.00438.x.
Lycanthropy is an unusual psychiatric syndrome involving the delusion of being an animal. Cotard's syndrome is another rare condition in which the patient has nihilistic delusions and ideation of immortality. We report a psychiatric patient who had both syndromes simultaneously.
A single case was reported.
A patient meeting DSM-IV criteria for bipolar mood disorder, mixed type with psychotic feature had the delusion of being transformed into a dog. He also deluded that he was dead. He was restless and had a serious sense of guilt about his previous sexual contact with a sheep.
Co-existence of lycanthropy and Cotard's syndrome has not been reported before. In this patient zoophilic orientation associated with a sense of guilt were concluded to be important factors causing his delusions.
变兽妄想是一种不寻常的精神综合征，涉及认为自己是动物的妄想。科塔尔综合征是另一种罕见病症，患者有虚无妄想和永生观念。我们报告一名同时患有这两种综合征的精神科患者。
报告一例个案。
一名符合DSM-IV双相情感障碍标准、伴有精神病性特征的混合型患者，有变成狗的妄想。他还妄想自己已死。他坐立不安，对自己之前与一只羊的性接触深感内疚。
此前未报告过变兽妄想和科塔尔综合征并存的情况。在该患者中，与内疚感相关的恋兽倾向被认为是导致其妄想的重要因素。
