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Confounding Psychosis in the Postpartum Period.

Authors :
Castro, Jack
Billick, Stephen
Kleiman, Anne
Chiechi, Maria
Al-Rashdan, Mohamed
Source :
Psychiatric Quarterly; Mar2014, Vol. 85 Issue 1, p91-96, 6p, 1 Diagram
Publication Year :
2014

Abstract

This case report alerts the psychiatric clinician to consider nonpsychiatric etiologies of psychosis appearing during the postpartum period besides postpartum psychosis. The case includes a description of the patient's psychiatric presentation, admission to the inpatient psychiatric unit with subsequent transfer to the medicine department including neuroimaging and neurological consultation. The patient had a remission of psychosis after only two and half days of antipsychotic medication administration. Positive findings on the MRI suggested a demyelinating disease and a 4-month follow up MRI continued to be positive. The etiology was presumed to be a demyelinating disease. In conclusion, psychiatrists need to be alert to include nonpsychiatric pathologies in the differential diagnosis when a patient presents with psychosis in the postpartum period. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
00332720
Volume :
85
Issue :
1
Database :
Complementary Index
Journal :
Psychiatric Quarterly
Publication Type :
Academic Journal
Accession number :
94693848
Full Text :
https://doi.org/10.1007/s11126-013-9271-5