Mahmut BULUT, Abdullah ATLI, Songül ÇATI, Mehmet Cemal KAYA, Yasin BEZ

Psikiyatrik Hastalarda İnfeksiyon Riski: Bir Katatoni Vakası

Katatoni sıklıkla şizofreni, iki uçlu bozukluk, depresyon gibipsikiyatrik durumlarda ortaya çıkan bir tablodur. Katatoni;katalepsi, katatonik eksitasyon, balmumu esnekliği, stupor,postür alma, grimas, sterotipi, mannerizm, ekopraksi gibiamaçsız motor bozukluklarla birlikte, negativizm, mutizm,ekolali gibi belirtilerle kendini göstermektedir. Hastanebakteri enfeksiyonları uzun süre hastanede yatan veimmun sistemi zayıflamış olan hastalarda genellikle ortayaçıkmaktadır. Psikiyatrik bir rahatsızlığı olan hastalarda; uzunsüre hastanede yatma, uzun süre harektsiz olma, ilaç-gıdareddinin olması, öz bakımının kötü olması gibi bazı durumlar kişiyi enfeksiyona yatkın hale getirir. Bu gibi şartlardaserviste yatan katatonik hastalarda klinik olarak kötüleşmeolması durumunda sepsis gibi psikiyatri dışı durumlarınaraştırılması gereklidir. Burada ilaç ve gıda reddi olan, 67gün servisimizde yatan iki uçlu bozukluk depresif dönemtanılı bir hastayı sunduk.

Infection risk in psychiatric patients: a catatonic case report

Catatonia is occurring in some psychiatric disorderssuch as schizophrenia, bipolar disorder and depression.Catatonia is presented with catalepsy, catatonic excitation,negativism, mutism, posturing, stereotypic movements,mannerism, grimas, echolalia, and echopraksia. Hospitalbacterial infections generally occur in patients whom long- term hospitalized and immune system weakened. Patientswith psychiatric disorders, -especially immobilized andhospitalized ones-, patients who resist to drug-food intake,lack of self-care may have predisposition to infections. Incase of a worsening in the clinical state of the patientswith catatonia, which is a severe psychiatric condition,clinicians should keep in mind organic pathologies likesepsis. Herein we reported a case of sepsis, which wasdiagnosed as bipolar mood disorder depressive episodewith catatonic features and had been hospitalized in ourclinic for 67 days and resisted to food and drug intake.

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