Zaydlin Michelle, Tamargo Christina
Psychiatry, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, USA.
Medicine, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, USA.
Cureus. 2020 Sep 29;12(9):e10718. doi: 10.7759/cureus.10718.
This is the case of a 30-year-old pregnant female who presented to the medical emergency department with signs and symptoms consistent with a psychotic episode. At the time of presentation, the patient was noted to have paranoia and delusions focused on her current pregnancy. On further evaluation in the emergency department, the patient's urine toxicology was found to be positive for methamphetamines. Following medical clearance, the patient was admitted for acute inpatient psychiatric stabilization. During hospitalization, her psychosis rapidly resolved with only the use of two emergency treatment injections containing antipsychotic medication. This case presents an interesting differential diagnosis between a brief psychotic disorder with peripartum onset and a substance-induced psychosis, and allows for further discussion in the differentiation and clinical treatment of these diagnoses.
这是一名30岁的怀孕女性病例，她因出现与精神病发作相符的症状而被送往急诊科。就诊时，发现患者存在以当前怀孕为重点的偏执和妄想。在急诊科进一步评估时，发现患者的尿液毒理学检测显示甲基苯丙胺呈阳性。在获得医学许可后，患者被收治入院进行急性住院精神科稳定治疗。住院期间，仅使用了两剂含抗精神病药物的紧急治疗注射剂，她的精神病症状就迅速得到缓解。该病例在产后发作的短暂精神病性障碍和物质所致精神病之间呈现出有趣的鉴别诊断，并有助于对这些诊断的鉴别和临床治疗进行进一步讨论。
