Fonseca João B, Morgado Pedro
Hospital da Senhora da Oliveira, Guimarães, Portugal.
Hospital de Braga, Braga, Portugal.
Case Rep Psychiatry. 2017;2017:3109463. doi: 10.1155/2017/3109463. Epub 2017 Aug 21.
Coprophagia and entomophagia are two phenomena not commonly reported in the medical literature and their occurrence is usually associated with mental disorders. We present the case of a 59-year-old man with a history of alcohol abuse who was evaluated due to cognitive deterioration and disturbed eating habits including feces and living insects. Organic causes were ruled out and an important cognitive impairment became evident on neuropsychological formal test. The behavior remitted after antipsychotic pharmacologic therapy and alcohol detoxification, leaving the diagnostic impression of alcohol related dementia. This report shows a rare association of these two conditions in a patient with dementia.
食粪癖和食虫癖是医学文献中不常报道的两种现象，它们的出现通常与精神障碍有关。我们报告一例59岁有酒精滥用史的男性患者，因其认知功能减退和包括粪便及活昆虫在内的饮食习惯紊乱而接受评估。排除了器质性病因，神经心理学正式测试显示存在明显的认知障碍。抗精神病药物治疗和酒精戒断后，该行为缓解，留下酒精相关性痴呆的诊断印象。本报告显示了这两种情况在一名痴呆患者中的罕见关联。
