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Acute polymorphic psychosis: An interesting case report

Published online by Cambridge University Press:  13 August 2021

V. Mari*
Affiliation:
Methexis Unit, Psychiatric Hospital of Thessaloniki, Thessaloniki, Greece
A. Georgiadi
Affiliation:
3rd Short Stay Unit, Psychiatric Hospital of Thessaloniki, Thessaloniki, Greece
A. Maris
Affiliation:
Department Of Orthopaedics, Great Ormond Street Hospital, London, United Kingdom
I. Gkolia
Affiliation:
3rd Short Stay Unit, Psychiatric Hospital of Thessaloniki, Thessaloniki, Greece
*
*Corresponding author.

Abstract

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Introduction

Acute Polymorphic Psychotic Disorder is a psychotic disorder with an acute onset, presenting thought and perception disorders variable into hours. Often, an emotional fluctuation is present and it may have a sudden onset and a rapid remission.

Objectives

The review’s objective is to manifest acute polymorhic psychotic disorders and possible effective medical interventions.

Methods

The current case concerns a 52-year old mother of 4 children with the manifestation of acute polymorphic psychotic disorder with a background of a stressful factor. The patient was involuntarily hospitalized in the Psychiatric Hospital of Thessaloniki from 04/01/ 2019 -21/ 01/2019 due to disorganization and acute confusing condition within the last 9 days. Delusional ideas of religious content were first observed, which alternated with ideas of greatness and then persecution, association and self-denial. She also presented auditory hallucinations while there was a fluctuation of emotion from excessive euphoria to depression. The patient had no previous hospitalization in a psychiatric clinic, however, 7 months ago she experienced another acute psychotic epeisode, while at the age of 17 and under the influence of intense stress, she described mood disorders.

Results

The current symptoms subsided after one week from the day of admission. During her hospitalization, a brain CT was performed without presence of pathological findings. Initially, her medication included i.m. haloperidol 15mg / ml daily, followed by a change to per os paliperidone 9mg daily.

Conclusions

Her mental status was improved, with no disturbances of consciousness noted and she was discharged on paliperidone as home medication.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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