Psychosis secondary to thyrotoxicosis that persisted post-thyroidectomy: a case report
Abstract Background This case report is of a patient with psychosis secondary to thyrotoxicosis that persisted and reemerged after definitive treatment of thyroidectomy, which is a unique occurrence in the literature. Case presentation This patient is a male between 30 and 35 years of age with a his...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | BMC Psychiatry |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12888-023-05227-4 |
| _version_ | 1797557385229762560 |
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| author | Shiva Kothari William Townsend Zuhaib Chaudhry Seth Kalin Kevin Freeman |
| author_facet | Shiva Kothari William Townsend Zuhaib Chaudhry Seth Kalin Kevin Freeman |
| author_sort | Shiva Kothari |
| collection | DOAJ |
| description | Abstract Background This case report is of a patient with psychosis secondary to thyrotoxicosis that persisted and reemerged after definitive treatment of thyroidectomy, which is a unique occurrence in the literature. Case presentation This patient is a male between 30 and 35 years of age with a history of Graves Disease and no past psychiatric history who was admitted to the hospital due to psychosis secondary to thyrotoxicosis. The thyrotoxicosis was treated with surgical removal, but the psychotic symptoms persisted after surgery and normalization of standard thyroid functional measures. The symptoms were of sufficient significance for inpatient psychiatric hospitalization, a rare occurrence. Ultimately after an extended stay in the psychiatric unit, the patient’s symptoms stabilized with a second-generation antipsychotic, and the patient was discharged from the psychiatric unit. Conclusion This case is evidence that the link between psychosis and hyperthyroidism is still poorly understood due to the patient’s psychotic symptoms persisting after the definitive treatment of thyroidectomy and the fact that it required anti-psychotic medications for normalization. |
| first_indexed | 2024-03-10T17:16:18Z |
| format | Article |
| id | doaj.art-78e1b2b2f71e472b819b338a4faf209b |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-03-10T17:16:18Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-78e1b2b2f71e472b819b338a4faf209b2023-11-20T10:29:01ZengBMCBMC Psychiatry1471-244X2023-10-012311510.1186/s12888-023-05227-4Psychosis secondary to thyrotoxicosis that persisted post-thyroidectomy: a case reportShiva Kothari0William Townsend1Zuhaib Chaudhry2Seth Kalin3Kevin Freeman4University of Mississippi Medical Center JacksonUniversity of Mississippi Medical Center JacksonUniversity of Mississippi Medical Center JacksonUniversity of Mississippi Medical Center JacksonUniversity of Mississippi Medical Center JacksonAbstract Background This case report is of a patient with psychosis secondary to thyrotoxicosis that persisted and reemerged after definitive treatment of thyroidectomy, which is a unique occurrence in the literature. Case presentation This patient is a male between 30 and 35 years of age with a history of Graves Disease and no past psychiatric history who was admitted to the hospital due to psychosis secondary to thyrotoxicosis. The thyrotoxicosis was treated with surgical removal, but the psychotic symptoms persisted after surgery and normalization of standard thyroid functional measures. The symptoms were of sufficient significance for inpatient psychiatric hospitalization, a rare occurrence. Ultimately after an extended stay in the psychiatric unit, the patient’s symptoms stabilized with a second-generation antipsychotic, and the patient was discharged from the psychiatric unit. Conclusion This case is evidence that the link between psychosis and hyperthyroidism is still poorly understood due to the patient’s psychotic symptoms persisting after the definitive treatment of thyroidectomy and the fact that it required anti-psychotic medications for normalization.https://doi.org/10.1186/s12888-023-05227-4ThyrotoxicosisPsychosisGravesThyroidectomyAntipsychotic |
| spellingShingle | Shiva Kothari William Townsend Zuhaib Chaudhry Seth Kalin Kevin Freeman Psychosis secondary to thyrotoxicosis that persisted post-thyroidectomy: a case report BMC Psychiatry Thyrotoxicosis Psychosis Graves Thyroidectomy Antipsychotic |
| title | Psychosis secondary to thyrotoxicosis that persisted post-thyroidectomy: a case report |
| title_full | Psychosis secondary to thyrotoxicosis that persisted post-thyroidectomy: a case report |
| title_fullStr | Psychosis secondary to thyrotoxicosis that persisted post-thyroidectomy: a case report |
| title_full_unstemmed | Psychosis secondary to thyrotoxicosis that persisted post-thyroidectomy: a case report |
| title_short | Psychosis secondary to thyrotoxicosis that persisted post-thyroidectomy: a case report |
| title_sort | psychosis secondary to thyrotoxicosis that persisted post thyroidectomy a case report |
| topic | Thyrotoxicosis Psychosis Graves Thyroidectomy Antipsychotic |
| url | https://doi.org/10.1186/s12888-023-05227-4 |
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