Case Report

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JCP
Serotonin Syndrome and Dextromethorphan Toxicity Caused by Fluoxetine and Bupropion-Dextromethorphan Interaction
Case Report

April 3, 2024

Addition of bupropion-dextromethorphan (BUP/DXM) to existing fluoxetine treatment resulted in serotonin syndrome within 3 days, with symptoms prompting presentation to the ED 5 days after discontinuation of BUP/DXM.
Michelle Anjali Singh, Devon Johnson
PCC
Cystic Fibrosis Treatment–Induced Psychiatric Symptoms
Case Report

March 28, 2024

A patient with cystic fibrosis experienced psychiatric symptoms after elexacaftor/tezacaftor/ivacaftor initiation, with clinical improvement after dose adjustment.
Edouard Godier, François Kazour, Dewi Le Gal, et al
PCC
Hepatotoxicity to Risperidone
Case Report

March 28, 2024

This case report details the clinical course of a patient with schizophrenia who developed a likely risperidone hepatocellular hepatotoxicity.
Rita Trindade André, Joana Pereira Romão, Marta Segadaes Rebelo, et al
PCC
Stress-Induced Autoimmune Encephalitis
Case Report

March 26, 2024

A 20-year-old woman with no previous neuropsychiatric history presented to the ED with violent outbursts and incoherent speech followed by mutism and urinary incontinence. She had significant stressors prior...
Fathima Hanana, Basheer Kalathil, N. A. Uvais, et al
PCC
Urinary Incontinence: A Rare Adverse Effect of Olanzapine
Case Report

March 14, 2024

Although olanzapine is mostly associated with adverse effects related to metabolism, in this case a patient presented with urinary incontinence attributable to the medication.
Geeteshwar Dewan, Shivangi Mehta, Ira Domun
PCC
Havana Syndrome: Social Contagion or Mass Psychogenic Illness?
Case Report

March 7, 2024

The authors report the case of a patient with self-reported Havana syndrome, highlighting the associated treatment challenges.
Arlen Gaba, Sahil Munjal
PCC
Treatment of Trauma-Related Nightmares With Terazosin
Case Report

March 5, 2024

After a failed trial of prazosin, a switch to terazosin was efficacious in reducing the severity and frequency of trauma-related nightmares.
Raechel T. White, Caitlin J. Armijo, Amre A. Elmaoued
PCC
Psilocybin and the Development of Serotonin Toxicity
Case Report

February 29, 2024

This case revealed that unregulated and recreational use of psilocybin in the setting of polypharmacy demonstrates a potential risk for serotonin toxicity that should be diligently monitored.
Avisha D. Amarnani, Melissa F. Free, Ritika Baweja
PCC
Late-Onset OCD With Somatic Obsessions
Case Report

February 22, 2024

Somatic obsessions may constitute a distinct phenotype of OCD, stemming from a complex interplay of neurobiological and environmental factors shared with hypochondriasis.
Joana Regala, João Reis
PCC
Mystery of Manganism in the Mind
Case Report

February 22, 2024

This is the case of a patient with altered mental status who exhibited some, but not all, characteristics of manganism, a neurologic complication resulting from elevated serum manganese (Mn)...
Lakshmi S. Kasi, Neehar D. Shah, Himil J. Mahadevia, et al
PCC
Phentermine–Induced Hypomania in Bipolar Depression
Case Report

February 20, 2024

The authors report a case of phentermine-induced mania/hypomania in a woman with bipolar depression who was stable on a mood stabilizer and antidepressant.
Wisam Al Jumaili, Nibras Al Gburi, Shailesh Jain
PCC
Treatment of OCD With Concomitant Compulsive Sexual Behavior
Case Report

February 15, 2024

This report illustrates a unique case of concomitant OCD and compulsive sexual behavior treated with sertraline and naltrexone.
Natalie N. Hunsinger
PCC
Xylazine Masking Benzodiazepine Withdrawal
Case Report

February 8, 2024

This case suggests a xylazine-induced masking of benzodiazepine withdrawal, which resulted in a withdrawal seizure in the patient.
Gregg Robbins-Welty, Jakayla Hart, Nicole Dussault, et al
PCC
Risperidone Exposure During Pregnancy and Breastfeeding
Case Report

February 1, 2024

The authors present an unusual case of a woman with continuous use of risperidone and trihexyphenidyl for many years, who gave birth to 5 healthy children during that time.
Dattatraya Mendhekar, Chittaranjan Andrade
PCC
Unusually High Levels of Prolactin With Risperidone
Case Report

January 30, 2024

This is a case of risperidone-induced galactorrhea with high prolactin levels a few days after initiation of risperidone.
Shreya Batra, Ajeet Sidana
PCC
Visual Hallucinations After Duloxetine Use
Case Report

January 25, 2024

A 62-year-old woman was referred for a psychiatric consultation due to the presence of visual hallucinatory activity. She had been prescribed duloxetine 3 months ago.
Daniela Oliveira Martins, Mauro Pinho, Filipa Caldas, et al
PCC
Homicidal Ideation After Watching Jeffrey Dahmer Netflix Drama
Case Report

January 23, 2024

The authors discuss 2 cases of adolescents with no prior psychiatric history who presented with suicidal and homicidal ideation after watching Dahmer—Monster: The Jeffrey Dahmer Story.
Tyler J. Thompson, Brandon Chen, Tanner Mabry, et al
JCP
Suicidality Emerging From Rapid Venlafaxine Discontinuation
Case Report

January 22, 2024

This case report presents a patient with no history of suicidal crisis who experienced 2 suicidal crises within 6 months, each directly following rapid discontinuation of venlafaxine.
Milutin Kostic, Martin Plöderl, Michael Hengartner, et al
PCC
Obsessive-Compulsive Phenomena as Postictal Behavioral Change
Case Report

January 18, 2024

This is a case of obsessive-compulsive postictal behavioral changes in a patient with focal epilepsy.
Anusha Aggarwal, Shobit Garg, Sai Krishna Tikka, et al
PCC
Liver Failure and Transplant After Excessive Energy Drink Consumption
Case Report

January 16, 2024

A 21-year-old man developed acute liver failure and cerebral edema following a binge episode of energy drink consumption.
Brett D. Jesse, Nam V. Nguyen, Alëna A. Balasanova
PCC
Seizures Due to Anti-NMDAR Encephalitis With Unremarkable Imaging Evaluations
Case Report

January 11, 2024

Management options for women with anti-NMDAR encephalitis and high clinical probability of ovarian tumor (OT) but negative imaging studies include immunotherapy without further search for OT, repetitive screening for...
David R. Spiegel, Abbey McLean, Megan Ralston, et al
PCC
When Lorazepam Worsens Delirium in Your Catatonic Patient
Case Report

January 2, 2024

The authors present 2 cases detailing effective alternative strategies in treating co-occurring catatonia and delirium.
Jordan P. Midkiff, Arlen Gaba, Sahil Munjal
PCC
Exploring the Addictive Nature of Fantasy Games Beyond Skill Mastery
Case Report

December 21, 2023

The rise of fantasy game culture has had a significant impact on society and has transformed the perception of gaming from a recreational activity to a legitimate career option.
Amrutha C. Madhu, A. M. Ashfaq U. Rahman, N. A. Uvais
PCC
Therapeutic Framework for Post–Suicide Attempt Family Meetings
Case Report

December 19, 2023

The authors propose a novel framework for the family meeting following a suicide attempt within the context of a patient case.
Kira V. Panzer, Adriana M. Kavoussi, Julie B. Penzner

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