耐火性抑郁症与持续的喉疼痛和SARS-CoV-2感染的阴性错觉:一个案例研究
Gaku Hayasaki1, Takeshi Terao, Hirofumi Hirakawa
1Department of Neuropsychiatry, Oita University Faculty of Medicine, Yufu, Oita, Japan.
The Journal of nervous and mental disease
|November 28, 2023
概括
持续的喉疼痛可能是严重急性呼吸系统综合征冠状病毒-2 (SARS-CoV-2) 感染的阴性错觉,即使有负面测试. 身体幻觉是可能的原因,可能导致其他精神疾病.
科学领域:
- 精神病学是一个精神病学.
- 神经学 神经学
- 传染性疾病 传染性疾病
背景情况:
- 持续的喉疼痛可能是一个具有挑战性的症状,具有各种潜在的病因.
- 缺陷性妄想,特别是关于SARS-CoV-2等传染病的妄想,可以显著影响患者的福祉.
- 身体症状和心理痛苦之间的相互作用需要仔细的临床考虑.
研究的目的:
- 介绍一个案例研究,探讨持续的喉疼痛和SARS-CoV-2感染的缺陷性错觉之间的关系.
- 调查持续体质投诉和心理困扰的患者喉疼痛的潜在原因.
- 突出考虑体质幻觉在无法解释的身体症状的差异诊断的重要性.
主要方法:
- 一名女性患者的病例报告呈现持续的喉疼痛和SARS-CoV-2感染的错觉.
- 针对SARS-CoV-2进行反转录聚合酶链反应 (RT-PCR) 测试.
- 临床评估和差异诊断,考虑体征性症状障碍,抑郁,妄想性疼痛和体征性幻觉.
- 精神病学评估,以评估潜在的情绪障碍和妄想症状.
主要成果:
- 患者经历了一种持续的喉疼痛,此前患有SARS-CoV-2感染的虚心错觉.
- 尽管对SARS-CoV-2的RT-PCR测试反复呈阴性,但喉疼痛和错觉仍然存在.
- 身体幻觉被确定为最可能导致喉疼痛的原因.
- 患者还表现出中度抑郁症,这表明了一些改善.
结论:
- 持续的喉疼痛可能会在未感染的个体中出现SARS-CoV-2感染的下体错觉的发展.
- 在患有持续喉疼痛和SARS-CoV-2检测结果阴性的患者中,应考虑体质幻觉.
- 早期识别和治疗体质幻觉可以防止其升级为缺陷性妄想和相关的精神病并发症,如耐药性抑郁症.
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