Abstract:
BACKGROUND:This case report highlights the rare occurrence of postpartum psychosis in the setting of peripartum cardiomyopathy, which can have rare presentations like arrhythmias and pulmonary edema; and the challenges one should anticipate while managing these conditions together. Caution is advised whenever antipsychotic drugs are to be administered to a patient with a cardiac condition as these drugs potentially increase the risk of arrhythmias and sudden death. CASE PRESENTATION:A 35 year old grand multiparous woman who was 1 week into puerperium was admitted with severe difficulty in breathing at rest, chest congestion and pain. She also had easy fatigability, orthopnea, paroxysmal nocturnal dyspnea, edema, tachycardia, tachypnea, irregularly irregular heart rate with a pulse deficit, elevated jugular venous pressure, cardiomegaly, hepatomegaly and pulmonary crepitations. On the sixth day while improving on standard drugs for heart failure, she developed bizarre behavior and confusion. She also had auditory, visual and olfactory hallucinations; violence to the baby and the husband; and refusal to feed and take medication. There was no altered sensorium and the vital signs were normal. She was diagnosed with puerperal psychosis during the management of peripartum cardiomyopathy. CONCLUSION:In the rare occurrence of puerperal psychosis in the course of management of peripartum cardiomyopathy one must be acutely aware of the risk of sudden cardiac death occasioned by use of antipsychotics, either directly or due to arrhythmias. Continuous electrocardiogram (ECG) monitoring or use of alternative management modalities is thus highly advised.
journal_name
BMC Psychiatryjournal_title
BMC psychiatryauthors
Owuor OH,Akiruga JA,Laktabai J,Ateya S,Omar SMdoi
10.1186/s12888-020-02522-2subject
Has Abstractpub_date
2020-03-11 00:00:00pages
114issue
1issn
1471-244Xpii
10.1186/s12888-020-02522-2journal_volume
20pub_type
杂志文章相关文献
BMC Psychiatry文献大全abstract:BACKGROUND:Structural imaging studies demonstrate brain tissue abnormalities in eating disorders, yet a quantitative analysis has not been done. METHODS:In global and regional meta-analyses of 9 voxel-based morphometry (VBM) studies, with a total of 228 eating disorder participants (currently ill with anorexia nervosa...
journal_title:BMC psychiatry
pub_type: 杂志文章,meta分析
doi:10.1186/1471-244X-13-110
更新日期:2013-04-09 00:00:00
abstract:BACKGROUND:Depression is an important public health problem and is closely associated with suicidal behavior in the population. Although the Center for Epidemiologic Studies Depression Scale (CES-D) is widely used for assessment of depression, the psychometric characteristics of this scale have not been explored in stu...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-015-0458-1
更新日期:2015-04-09 00:00:00
abstract:BACKGROUND:Recent prevalence studies suggest that self-harm among adolescents in sub-Saharan Africa is as common as it is in high income countries. However, very few qualitative studies exploring first-person accounts of adolescent self-harm are available from sub-Saharan Africa. We sought to explore the experiences an...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-02599-9
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:Clinical Practice Guidelines (CPGs) should follow an adequate methodology using an evidence-based approach in order to provide reliable recommendations. However, little is known regarding the quality of CPGs for Depression, which precludes its adequate use by stakeholders and mental health professionals. Thu...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-019-2057-z
更新日期:2019-02-20 00:00:00
abstract:BACKGROUND:There is limited knowledge about how environmental factors affect the course of bipolar disorder (BD). Cannabis has been proposed as a potential risk factor for poorer course of illness, but the role of cannabis use has not been studied in a first treatment BD I sample. METHODS:The present study examines th...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-015-0389-x
更新日期:2015-02-05 00:00:00
abstract:BACKGROUND:Little is known regarding the association between adverse events (AEs) and psychiatric medications administered to pregnant women in clinical trials during the pre-marketing period. This study analyzes reports of AE association with psychiatric medication administrated during pregnancy using post-marketing s...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-02525-z
更新日期:2020-03-12 00:00:00
abstract:BACKGROUND:Bitopertin, a glycine reuptake inhibitor, was investigated as a novel treatment for schizophrenia. We report all the results of a double-blind randomized study assessing safety and efficacy following 52-week adjunctive treatment with bitopertin in Japanese patients with schizophrenia. METHODS:This study enr...
journal_title:BMC psychiatry
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s12888-016-0778-9
更新日期:2016-03-15 00:00:00
abstract:BACKGROUND:The aim of this study was to explore perceptions of free will in the repetitive behaviors of patients with obsessive-compulsive disorder (OCD) and to explore their relation with core clinical characteristics. METHODS:Experiences of free will were assessed with the Symptomatology And Perceived Free will rati...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-018-1985-3
更新日期:2018-12-27 00:00:00
abstract::After publication of the original article [1], it was brought to our attention that some of the numbers in Table 3were incorrect. ...
journal_title:BMC psychiatry
pub_type: 已发布勘误
doi:10.1186/s12888-019-2086-7
更新日期:2019-04-08 00:00:00
abstract:BACKGROUND:Suicidality has been under-researched in autism spectrum disorders (ASD). Most studies have linked increased suicidality in ASD to psychiatric comorbidities such as depression. Here we investigated, from a neuropsychological and clinical standpoint, the relationship between core ASD symptoms, i.e., restricte...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-019-2122-7
更新日期:2019-04-27 00:00:00
abstract:BACKGROUND:Chronic cocaine use is associated with cognitive deficits, including poor performance on neuropsychological tasks of memory, executive functions, theory of mind and decision-making. However, the relationship between cocaine use disorder and social decision-making remains unclear. This is particularly relevan...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-019-2198-0
更新日期:2019-07-05 00:00:00
abstract:BACKGROUND:Treatment of schizophrenia frequently includes prolonged benzodiazepine administration despite a lack of evidence of its use. It is often difficult to discontinue benzodiazepines because of the development of dependence. We aim to assess if melatonin can facilitate the withdrawal of prolonged benzodiazepine ...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-244X-11-160
更新日期:2011-10-05 00:00:00
abstract:BACKGROUND:This survey followed a cohort of patients with chronic psychosis recruited from five catchment areas (DSMs) of the Sardinian community mental health services. The objective was to examine whether the amount of resources in the different sites may be a determinant of the outcomes. METHODS:Naturalistic follow...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-13-333
更新日期:2013-12-06 00:00:00
abstract:BACKGROUND:There have been previous reported deaths due to clozapine-induced constipation. In all these cases patients have experienced prior abdominal symptoms over a period of weeks or months. CASE PRESENTATION:We report the sudden death due to constipation of a healthy young male patient on clozapine without any kn...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-6-43
更新日期:2006-10-19 00:00:00
abstract:BACKGROUND:The polymorphism rs6313 (T102C) has been associated with suicidal behavior in case-control and meta-analysis studies, but results and conclusions remain controversial. The aim of the present study was to examine the association between T102C with suicidal behavior in a case-control study and, to assess the c...
journal_title:BMC psychiatry
pub_type: 杂志文章,meta分析
doi:10.1186/1471-244X-13-25
更新日期:2013-01-12 00:00:00
abstract:BACKGROUND:Schizophrenia is thought to be a neurodevelopmental disorder with pathophysiological processes beginning in the brain prior to the emergence of clinical symptoms. Recent evidence from neuroimaging studies using techniques such as diffusion tensor imaging has identified white matter abnormalities that are sug...
journal_title:BMC psychiatry
pub_type: 杂志文章,评审
doi:10.1186/s12888-016-0932-4
更新日期:2016-08-11 00:00:00
abstract:BACKGROUND:Major depressive disorder (MDD) is a major public health burden in conflict areas. However, it is not known for how long and by how much the observed high rates of MDD seen in conflict settings persist into the post-conflict period. METHODS:A cross sectional survey was employed seven years after the conflic...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-015-0423-z
更新日期:2015-03-14 00:00:00
abstract:BACKGROUND:Depression is common in primary care and is often unrecognized and untreated. Studies are needed to demonstrate the feasibility of implementing evidence-based depression care provided by primary health care workers (PHCWs) in sub-Saharan Africa. We carried out a pilot two-parallel arm cluster randomized cont...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12888-015-0483-0
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:The medical management of aggressive and violent behaviour is a critical situation for which there is little evidence. In order to prepare for a randomised trial, due to start in the psychiatric emergency rooms of Rio de Janeiro in 2001, a survey of current practice was necessary. METHODS:A seven day survey...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244x-2-4
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:Schizophrenia is a chronic mental disorder affecting more than 21 million worldwide. In Indonesia, 14.3% of households have a patient with a mental disorder, and the majority of these are in rural areas. Family members in Indonesia use repressive social measures like pasung (physical restraint and confinemen...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-019-2138-z
更新日期:2019-05-28 00:00:00
abstract:BACKGROUND:Compulsory admissions have a strong effect on psychiatric patients and represent a deprivation of personal liberty. Although the rate of such admissions is tending to rise in several Western countries, there is little qualitative research on the mental health-care process preceding compulsory admission. The ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-017-1512-y
更新日期:2017-10-24 00:00:00
abstract:BACKGROUND:Depression is a highly prevalent and disabling mental disorder with an incidence rate which appears to be increasing in the developed world. This fact seems to be at least partially related to lifestyle factors. Some hygienic-dietary measures have shown their efficacy as a coadjuvant of standard treatment. H...
journal_title:BMC psychiatry
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/1471-244X-12-201
更新日期:2012-11-16 00:00:00
abstract:BACKGROUND:For around a third of people with a diagnosis of schizophrenia, the condition proves to respond poorly to treatment with many typical and atypical antipsychotics. This is commonly referred to as treatment-resistant schizophrenia. Clozapine is the only antipsychotic with convincing efficacy for people whose s...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12888-016-0983-6
更新日期:2016-08-05 00:00:00
abstract:BACKGROUND:Current clinical guidelines recommend non-pharmacological interventions as first-line treatments for young patients aged 16-24 years with a mental health condition (MHC). However, several studies have noted increasing trends in psychotropic prescribing for this age group, especially in antidepressant prescri...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-017-1375-2
更新日期:2017-06-06 00:00:00
abstract:BACKGROUND:The term "loss-of-only-child family" means that the only child in a family passed away or is disabled due to an accident or other events. The parents who cannot conceive or do not adopt another child, are known as Shidu parents in China. This study compares the physical and mental health of Shidu parents wit...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-018-1621-2
更新日期:2018-02-12 00:00:00
abstract:BACKGROUND:Stigma against mental illness cuts across all age, religion, ethnic origin or socio-economic status. Similarly, self-stigma among psychiatric patients is also prevalent worldwide. The consequences of self-stigma are low self-esteem, increased severity of symptoms, low treatment adherence, increased rate of s...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-019-2344-8
更新日期:2019-11-07 00:00:00
abstract:BACKGROUND:Olanzapine long-acting injection (LAI) is a salt-based depot antipsychotic combining olanzapine and pamoic acid. The slow intramuscular dissolution of this practically insoluble salt produces an extended release of olanzapine lasting up to 4 weeks. However, in a small number of injections (< 0.1%), patients ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-10-45
更新日期:2010-06-10 00:00:00
abstract:BACKGROUND:The burden of substance misuse in developing countries is large and increasing, with negative consequences for physical and psychological health. Substance use disorders and psychological distress commonly co-exist, however few studies have examined this relationship in developing countries, including Nepal....
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-1003-6
更新日期:2016-09-08 00:00:00
abstract:BACKGROUND:Once considered to be a disorder restricted to childhood, Attention Deficit/Hyperactivity Disorder (ADHD) is now recognised to persist into adult life. However, service provision for adults with ADHD is limited. Additionally, there is little guidance or research on how best to transition young people with AD...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-13-186
更新日期:2013-07-10 00:00:00
abstract:BACKGROUND:Although it is well established that prostate cancer (PCa) patients are more likely to experience clinical depression than their age-matched non-prostate cancer peers, and that such depression can have negative effects upon survival, little is known about the underlying nature of the depressive symptomatolog...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-11-201
更新日期:2011-12-20 00:00:00