Sydenham koresinde intihar düşünceleri ve intihar girişimi: Bir olgu sunumu

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).

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

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).

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