Tamayo Acosta Jean C, Sosa Gomez Ariel, Gonzalez Diaz Leonel, Rivera Rodriguez Grecia, Acosta Guillot Marjorie
Psychiatry, University of Medicine and Health Sciences, Bayamon, PRI.
Psychiatry, Saint James School of Medicine, Miami, USA.
Cureus. 2022 Jul 14;14(7):e26846. doi: 10.7759/cureus.26846. eCollection 2022 Jul.
Psychosis is a mental disorder in which an individual exhibits a loss of contact with reality; this definition, however, often fails to convey the broadness and complexity behind the diagnosis. While studies agree that it is best practice to address psychosis by treating its underlying cause, manifestations of psychosis do vary widely and may be challenging to identify in some clinical scenarios, such as the one presented here. Binge eating in the setting of psychosis has been observed in instances where alterations of the gut microbiota in response to an eating disorder trigger psychotic episodes. However, instances in which the manifestation of psychosis itself is the catalytic factor for the presentation of a binge-eating event with aggression and delusions are seldom observed in the current medical literature. Of note, many of the drugs used to treat mental illness have been associated with regulating food intake. We aim to further expand on the association between psychosis, eating disorders, and management thereof in the setting of polypharmacy and undesired side effects. Here, we present the case and management of a 71-year-old male Hispanic patient with a significant history of mental illness who was admitted to the hospital due to acute gastroenteritis precipitated by binge eating during a psychotic episode.
精神病是一种精神障碍，患者会出现与现实脱节的症状；然而，这一定义往往无法传达该诊断背后的广泛性和复杂性。虽然研究一致认为，治疗精神病的根本原因是最佳做法，但精神病的表现差异很大，在某些临床情况下，如本文所述的情况，可能难以识别。在因饮食失调导致肠道微生物群改变引发精神病发作的情况下，已观察到精神病患者出现暴饮暴食。然而，目前医学文献中很少观察到精神病本身的表现是引发伴有攻击行为和妄想的暴饮暴食事件的催化因素。值得注意的是，许多用于治疗精神疾病的药物都与调节食物摄入有关。我们旨在进一步阐述在联合用药和不良副作用背景下，精神病、饮食失调及其管理之间的关联。在此，我们介绍一名71岁西班牙裔男性患者的病例及治疗情况，该患者有严重精神病史，因精神病发作期间暴饮暴食引发急性肠胃炎而入院。
