Robinson Julie Briony
Leeds PFT, Becklin Centre, Alma Street, Leeds LS9 7BE, UK.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.09.2008.0866. Epub 2009 May 11.
This report describes the unusual case of a man with chronic mental illness, presenting with polydipsia and psychotic symptoms atypical of his usual episodes of illness. This report is a reminder to all doctors to beware of organic causes of mental illness, not only in new presentations but also in patients well known to services. In particular this is important when unusual symptoms are present. The report includes some discussion of why finding an organic cause in patients with psychiatric illness can pose challenges and demonstrates the need for good communication between professionals in order to best serve patients. It also highlights the importance of appropriate and timely investigations.
本报告描述了一名患有慢性精神疾病的男子的罕见病例，他出现了烦渴和与他通常发病时不同的精神病症状。本报告提醒所有医生，不仅要警惕新出现症状的患者，还要警惕服务机构熟知的患者出现精神疾病的器质性病因。特别是当出现不寻常症状时，这一点尤为重要。报告还讨论了为何在患有精神疾病的患者中寻找器质性病因会面临挑战，并表明专业人员之间进行良好沟通以便为患者提供最佳服务的必要性。它还强调了适当及时进行检查的重要性。
