Scientia Psychiatrica
Vol. 1 No. 1 (2020): Scientia Psychiatrica

Co-occurring Toxoplasma Infection and Psychotic Symptoms: Case Report

Carla R Marchira (Department of Psychiatry, Faculty of Medicine Universitas Gadjah Mada, Yogyakarta, Indonesia)
Andrian F Kusumadewi (Department of Psychiatry, Faculty of Medicine Universitas Gadjah Mada, Yogyakarta, Indonesia)
Patricia Wulandari (Mental Health Cattleya Consultation Center, Indonesia)



Article Info

Publish Date
09 Jan 2020

Abstract

Introduction: Schizophrenia is a neuropsychiatric disease that is global and is experienced by 1% of the population in the United States and Europe. This study raises awareness of the role of infectious agents in the initiation of psychotic symptoms in schizophrenia. Case presentation: A 20-year-old man is taken by the family to the emergency department because he has decreased consciousness, and the body suddenly stiffens. Patients begin to experience changes in behavior in the form of difficulty sleeping, when invited to talk quietly, laughing alone, and whispering without the other person. TORCH examination found an increase in anti-toxoplasma IgM and IgG. This patient is then given basic life support in the form of ABC (airway, breathing, circulation support) and seizure management. Also given risperidone 2 mg / 12 hours, pyrimethamine 1-II (1x200 mg), pyrimethamine day III-XXI (1x 25 mg), intravenous Cefotaxime 2g / 8 hours, Clindamycin 500 mg / 8 hours. The patient experienced improvement after the second week of treatment. Conclusion: Toxoplasmosis causes lesions in the brain that cause changes in brain neurotransmitter pathways, which lead to changes in patient behavior.

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Journal Info

Abbrev

SciPsy

Publisher

Subject

Health Professions Medicine & Pharmacology Neuroscience Public Health

Description

Scientia Psychiatrica covers the latest developments in various fields of psychiatric : biological psychiatry, neuropsychiatry, child psychiatry, psychiatry of community, psychotherapy, drugs-related mental illness, psychiatry of geriatric, psychosomatics medicine, psychology, cultural psychiatry, ...