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Case Report

PBS. 2014; 4(4): 178-81


Infection risk in psychiatric patients: a catatonic case report

Abdullah Atli, Mahmut Bulut, Mehmet Cemal Kaya, Songül Çatı, Yasin Bez.

Abstract
Catatonia is occurring in some psychiatric disorders such as schizophrenia, bipolar disorder and depression. Catatonia is presented with catalepsy, catatonic excitation, negativism, mutism, posturing, stereotypic movements, mannerism, grimas, echolalia, and echopraksia. Hospital bacterial infections generally occur in patients whom long-term hospitalized and immune system weakened. Patients with psychiatric disorders, -especially immobilized and hospitalized ones-, patients who resist to drug-food intake, lack of self-care may have predisposition to infections. In case of a worsening in the clinical state of the patients with catatonia, which is a severe psychiatric condition, clinicians should keep in mind organic pathologies like sepsis. Herein we reported a case of sepsis, which was diagnosed as bipolar mood disorder depressive episode with catatonic features and had been hospitalized in our clinic for 67 days and resisted to food and drug intake.

Key words: catatonia, hospital infection, sepsis



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