Obuaya Chi-Chi, Gangatharan Gayathri Thivyaa, Karra Efthimia
CNWL NHS Foundation Trust, London, UK.
Imperial College London School of Medicine, London, UK.
Case Rep Infect Dis. 2021 Mar 4;2021:6649717. doi: 10.1155/2021/6649717. eCollection 2021.
Infections have long been linked to psychosis and categorised within "secondary" psychoses. To date, there have been few reports of psychosis linked to brucellosis. This case report aims to present one such case. . A 31-year-old man was admitted to a general hospital with pyrexia, severe right upper quadrant pain, and an acute psychosis following a two-week holiday in South East Asia and the Mediterranean. Serological tests revealed that he had brucellosis. Following antibiotic treatment, the psychotic symptoms abated and he was discharged within ten days of hospitalisation.
This case of organic psychosis highlights the importance of considering brucellosis as a rare cause of acute psychosis. The exact mechanism of -induced psychosis remains unclear.
感染长期以来一直与精神病相关联,并被归类为“继发性”精神病。迄今为止,与布鲁氏菌病相关的精神病报告很少。本病例报告旨在呈现这样一个病例。一名31岁男性在东南亚和地中海度过两周假期后,因发热、严重右上腹疼痛和急性精神病入住一家综合医院。血清学检查显示他患有布鲁氏菌病。经过抗生素治疗,精神病症状减轻,他在住院十天内出院。
这例器质性精神病病例凸显了将布鲁氏菌病视为急性精神病罕见病因的重要性。感染诱发精神病的确切机制仍不清楚。