Proctor Carmel, Rahman Sakib
Princess Elizabeth Hospital, The Oberlands Centre, La Rue de La Corbinnerie, St Martin, GY4 6SP Guernsey, UK.
Case Rep Psychiatry. 2021 Nov 25;2021:2810137. doi: 10.1155/2021/2810137. eCollection 2021.
"Severe domestic squalor" or Diogenes syndrome is characterised by extreme self-neglect of environment, health, and hygiene, excessive hoarding, squalor, social withdrawal, and a distinct lack of concern or shame regarding one's living condition. This report presents a case of a 51-year-old male admitted to the hospital psychiatric ward following the police removing him from his home. Police officers attended the man's home following the alarm being raised by his stepfather that he had not been seen or heard from in 3 weeks. His home was covered in several feet of rubbish, rotting food, and debris and smelled intensely of rotting mould, urine, and faeces. He was found lying nude on top of garbage with a rug over him. Diogenes syndrome is highly comorbid with psychiatric and somatic disorders, including depression, obsessive-compulsive disorder, personality disorder, and stress. This case report provides a rare opportunity to better understand the distinction of Diogenes syndrome from the closely related condition hoarding disorder. Furthermore, creating an agreed-upon constellation of symptoms representative of Diogenes is essential to creating a formal entry, which would facilitate the much-needed development of assessment measures to enable accurate diagnosis and treatment.
“严重家庭脏乱”或第欧根尼综合征的特征是对环境、健康和卫生极度自我忽视、过度囤积、脏乱、社交退缩，以及对自己的生活状况明显缺乏关注或羞耻感。本报告介绍了一例51岁男性的病例，该男子在被警察从家中带走后入住医院精神科病房。在该男子的继父报警称已三周未见其身影且未听到其消息后，警察前往了该男子的住所。他的家中堆满了几英尺厚的垃圾、腐烂的食物和碎片，散发着强烈的腐霉、尿液和粪便气味。人们发现他裸体躺在垃圾上，身上盖着一块地毯。第欧根尼综合征与精神和躯体疾病高度共病，包括抑郁症、强迫症、人格障碍和应激反应。本病例报告提供了一个难得的机会，以更好地理解第欧根尼综合征与密切相关的囤积障碍之间的区别。此外，确定一组代表第欧根尼综合征的公认症状对于创建一个正式条目至关重要，这将有助于开发急需的评估措施，以实现准确的诊断和治疗。
