Journals / Anadolu Psikiyatri Dergisi / 2016 / Cilt: 17 - Sayı: 0

Suicidal thoughts and suicide attempts in Sydenham's chorea: a case report

Sydenham koresinde intihar düşünceleri ve intihar girişimi: Bir olgu sunumu

Pages
20–23
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this case, 9-year-old male patient with a diagnosis of acute Sydenham Korea whose psychiatric signs and symptoms increased with treatment, who had attempted suicide, is going to be presented and we aimed to draw attention and to discuss these issues. (Anatolian Journal of Psychiatry 2016; 17(Suppl.3):20-23).

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Sydenham's chorea is the most common cause of acute onset chorea in childhood; psychiatric signs and symptoms are often accompanied its clinic.
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Key Findings & Data:In addition, although there is not enough data on how to treat the signs and symptoms that accompany psychiatric clinic, the drugs used in the treatment are known to increase the risk of psychiatric signs and symptoms.
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Conclusion & Impact:In this case, 9-year-old male patient with a diagnosis of acute Sydenham Korea whose psychiatric signs and symptoms increased with treatment, who had attempted suicide, is going to be presented and we aimed to draw attention and to discuss these issues. (Anatolian Journal of Psychiatry 2016; 17(Suppl.3):20-23).
🔬Design:Research Article
📍Scope:2016 Verileri
⚙️Variables:Domain Parameters

Abstract

Sydenham's chorea is the most common cause of acute onset chorea in childhood; psychiatric signs and symptoms are often accompanied its clinic. After the clinical motor and cardiac symptoms, patients with Sydenham's chorea have also been presented with the obsessive-compulsive symptoms, anxiety, depression, attention problems and emotional lability. However, in the literature, it could not be reached on a case with the suicidal thoughts or suicide attempts. In addition, although there is not enough data on how to treat the signs and symptoms that accompany psychiatric clinic, the drugs used in the treatment are known to increase the risk of psychiatric signs and symptoms. In this case, 9-year-old male patient with a diagnosis of acute Sydenham Korea whose psychiatric signs and symptoms increased with treatment, who had attempted suicide, is going to be presented and we aimed to draw attention and to discuss these issues. (Anatolian Journal of Psychiatry 2016; 17(Suppl.3):20-23).

Özet

Sydenham koresi çocukluk çağı akut başlangıçlı korenin en sık nedeni olup kliniğine sıklıkla psikiyatrik bulgu ve belirtiler eşlik eder. Sydenhan koreli hastalar, motor ve kardiyak belirtilerden sonra kliniğe en sık obsesif kompulsif belirtiler, anksiyete, depresyon, dikkat sorunları ve duygusal oynaklık ile getirilmektedirler. Bununla birlikte, literatürde intihar düşünceleri olan veya intihar girişiminde bulunmuş bir olguya ulaşılamamıştır. Ayrıca kliniğine eşlik eden psikiyatrik bulgu ve belirtilerin nasıl tedavi edileceğine ilişkin yeterli veri olmamakla birlikte, tedavide kullanılan ilaçların da psikiyatrik bulgu ve belirtileri artırma riski olduğu bilinmektedir. Bu olgu sunumunda akut Sydenham koresi tanısı konmuş, tedavi ile psikiyatrik bulgu ve belirtilerinde artış gözlenmiş, intihar girişiminde bulunmuş, dokuz yaşındaki bir erkek hasta üzerinden bu konuya dikkat çekilmesi ve tartışılması hedeflenmiştir. (Anadolu Psikiyatri Derg 2016; 17(Ek.3):20-23).

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Cite This Article

DEMİRCİ, E. Ö. (2016). Suicidal thoughts and suicide attempts in Sydenham's chorea: a case report. Anadolu Psikiyatri Dergisi, Cilt: 17 - Sayı: 0, 20–23. https://ajindex.com/articles/356157

References (15)

  1. Church AJ, Cardoso F, Dale RC. Anti-basal ganglia antibodies in acute and persistent Sydenham's chorea. Neurology 2002; 59:227
  2. Garvey MA, Perlmutter SJ, Allen AJ, Hamburger S, Lougee L, Leonard HL, et al. A pilot study of penicillin prophylaxis for neuropsychiatric exacerbations triggered by streptococcal infections. Biol Psychiatry 1999; 45:1564-1571
  3. Seckeler MD, Hoke TR. The worldwide epidemiology of acute rheumatic fever and rheumatic heart disease. Clin Epidemiol 2011; 3:67-84
  4. Tumas V, Caldas CT, Santos AC, Nobre A, Fernandes RM. Sydenham's chorea: clinical observations from a Brazilian movement disorder clinic. Parkinsonism Relat Disord 2007; 13:276- 283
  5. Dale RC, Heyman I, Surtees RA, Church AJ, Giovannoni G, Goodman R, et al. Dyskinesias and associated psychiatric disorders following streptococcal infections. Arch Dis Child 2004; 89:604-610
  6. Swedo SE. Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS). Mol Psychiatry 2002; 7:24- 25
  7. Black KJ, Perlmutter JS. Septuagenarian Sydenham's with secondary hypomania. Neuropsychiatry Neuropsychol Behav Neurol 1997; 10:147- 150
  8. Asbahr FR, Negrao AB, Gentil V. Obsessive compulsive and related symptoms in children and adolescents with rheumatic fever with and without chorea: A prospective 6-month study. Am J Psychiatry 1998;155:1122-1124
  9. Yazgan MY, Arman A ve Eraksoy M. Sydenham's Chorea: Behavioral and Sensory Aspects. American Academy of Child and Adolescent Psychiatry, 44th Annual Meeting, 1997
  10. Ben-Pazi H, Jaworowski S, Shalev R. Cognitive and psychiatric phenotypes of movement disorders in children: a systematic review. Dev Med Child Neurol 2011; 53(12):1077-1084 11. Cardoso F. Sydenham's chorea. WJ Weiner, E Tolosa (Eds.), Handbook of Clinical Neurology, vol
  11. Hyperkinetic Movement Disorders. Elsevier, Brazil, 2011, p.221-230
  12. Walker K, Lawrenson J, Wilmshurst J. Neuropsychiatric movement disorders following streptococcal infection. Dev Med Child Neurol 2005; 47:771-775
  13. Bonthius DO, Karacay B. Sydenham's chorea: not gone and not forgotten. Semin Paediatr Neurol 2003; 110(1):11-19
  14. Demirören K, Yavuz H, Cam L, Oran B, Karaaslan S, Demiroren S. Sydenham's chorea: a clinical follow-up of 65 patients. J Child Neurol 2007; 22(5):550-554
  15. Ekici F, Cetin II, Cevik BS, Senkon OG, Alpan N, Değerliyurt A, et al. What is the outcome of rheumatic carditis in children with Sydenham's chorea? Turk J Pediatr 2012; 54(2