Delusional disorder and tuberculosis: A clinical case

• DOI: 10.1192/j.eurpsy.2021.1718
• Publication Date: 2022-02-22T06:58:45Z
• Authors: V. Podence Falcão; R. Avelar; C. Abreu; M. Heitor
• Keywords: Delusional disorder

Introduction Tuberculosis is still a challenging disease, infecting around third of the world’s population. As comorbidity with mental disorder common, it relevant to associate them at diagnostic, therapeutic and prognostic level. Objectives We present clinical case describing patient psychosis, further diagnosed tuberculosis during psychiatric treatment. Moreover, we summarized revision state art. Methods Revision art, drawing from PubMed using keywords “mental health”, “psychosis” “tuberculosis”, in last 10 years. Results Male, 61 years old, heavy smoker alcohol drinker. Admitted for allegedly feeling “worms” his body. After medical examination, weight loss 13 kg five months symptoms compatible tenesmus stood out. Following diagnostic tests, was Ekbom Syndrome Ganglionar Tuberculosis; he then medicated adequate antipsychotic tuberculostatic agents, which resulted overall improvement. Conclusions This illustrates relationship between disorders, low literacy level precarious socioeconomic background, known risk factors patients are often associated poor adherence. Although proper treatment key reducing dropout, stigma decreases probability these seeking Thus, alert community possibility – vice-versa –, allowing an early intervention, Disclosure No significant relationships.