Huarcaya-Victoria Jeff, Ledesma-Gastañadui Mario, Huete-Cordova Maria
School of Medicine, Universidad Nacional Mayor de San Marcos, Lima, Peru; Department of Psychiatry, National Hospital Guillermo Almenara Irigoyen, Lima, Peru.
Department of Psychiatry, National Hospital Guillermo Almenara Irigoyen, Lima, Peru.
Case Rep Psychiatry. 2016;2016:6968409. doi: 10.1155/2016/6968409. Epub 2016 Dec 8.
Jules Cotard described, in 1880, the case of a patient characterized by delusions of negation, immortality, and guilt as well as melancholic anxiety among other clinical features. Later this constellation of symptoms was given the eponym Cotard's syndrome, going through a series of theoretical vicissitudes, considering itself currently as just the presence of nihilistic delusions. The presentation of the complete clinical features described by Cotard is a rare occurrence, especially in the context of schizophrenia. Here we present the case of a 50-year-old male patient with schizophrenia who developed Cotard's syndrome. The patient was treated with aripiprazole, showing improvement after two weeks of treatment. A review of the literature is performed about this case.
朱尔斯·科塔尔在1880年描述了一例患者，其特征为否定妄想、不朽妄想、罪恶妄想以及忧郁焦虑等其他临床特征。后来，这一系列症状被命名为科塔尔综合征，经历了一系列理论变迁，目前认为其仅表现为虚无妄想。科塔尔所描述的完整临床特征的表现较为罕见，尤其是在精神分裂症的背景下。在此，我们报告一例50岁男性精神分裂症患者出现科塔尔综合征的病例。该患者接受了阿立哌唑治疗，治疗两周后病情有所改善。并对该病例进行了文献综述。
