Rahmat R
MD (UKM), MMED Family Medicine (USM) Klinik Kesihatan Taiping, Perak Malaysia.
Malays Fam Physician. 2020 Mar 18;15(1):58-60. eCollection 2020.
Obsessive-compulsive disorder (OCD) is a common anxiety disorder which can be chronic and sustained. An OCD sufferer experiences intrusive and repetitive thoughts, impulses, and behaviors, which ultimately cause extreme discomfort. We report a case of a patient that primarily presented with lower urinary tract symptoms who was subsequently treated with antibiotics. Nonetheless, the symptoms persisted. In subsequent consultations, the patient clarified the compulsive nature of his symptoms and was treated as a case of OCD. Therefore, it is crucial for physicians to correctly identify the nature of the symptoms to manage the disorder properly and to avoid unnecessary consultation and treatment. To the best of our knowledge, this is the first report of other presentations of OCD.
强迫症（OCD）是一种常见的焦虑症，可能是慢性且持续的。强迫症患者会经历侵入性和重复性的想法、冲动及行为，这些最终会导致极度不适。我们报告一例主要表现为下尿路症状的患者，该患者随后接受了抗生素治疗。然而，症状持续存在。在后续会诊中，患者阐明了其症状的强迫性质，并被作为强迫症病例进行治疗。因此，医生正确识别症状的性质对于妥善管理该疾病以及避免不必要的会诊和治疗至关重要。据我们所知，这是关于强迫症其他表现形式的首例报告。
