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A Case Report of Leukocytosis During Modified Electroconvulsive Therapy of Paranoid Personality Disorder

INTRODUCTION: Modified electroconvulsive therapy (MECT) is a viable therapeutic option for patients with mood disorders and schizophrenia. We found that there is a relationship between MECT and leukocytosis. To the best of our knowledge, this is the first case of this problem. There are no relevant...

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Autores principales: Mu, Xingyu, Xu, Jiao, Lin, Peilin, Luo, Ya, Zhu, Yuan, Shi, Yi, Chen, Shangtao, Wu, Zengxiang, Li, Shuangqing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9186336/
https://www.ncbi.nlm.nih.gov/pubmed/35693976
http://dx.doi.org/10.3389/fpsyt.2022.899847
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author Mu, Xingyu
Xu, Jiao
Lin, Peilin
Luo, Ya
Zhu, Yuan
Shi, Yi
Chen, Shangtao
Wu, Zengxiang
Li, Shuangqing
author_facet Mu, Xingyu
Xu, Jiao
Lin, Peilin
Luo, Ya
Zhu, Yuan
Shi, Yi
Chen, Shangtao
Wu, Zengxiang
Li, Shuangqing
author_sort Mu, Xingyu
collection PubMed
description INTRODUCTION: Modified electroconvulsive therapy (MECT) is a viable therapeutic option for patients with mood disorders and schizophrenia. We found that there is a relationship between MECT and leukocytosis. To the best of our knowledge, this is the first case of this problem. There are no relevant guidelines recommending the risk of leukocytosis caused by MECT, nor the method to reduce the risk. We hope to share this case to provide a reference for the prevention and treatment of similar patients with leukocytosis during or after MECT and remind psychiatrists to pay attention to this risk of leukocytosis before making the decision of MECT while knowing how to deal with it. CASE PRESENTATION: We describe a case of a 24-year-old woman diagnosed with Paranoid personality disorder (PPD) whose symptoms began at 19 years old. Her main clinical manifestations are feeling targeted, cheated, tracked, misunderstood, and repeating action. Since antipsychotic treatment was ineffective, we considered MECT. After MECT, the patient’s body temperature increased, and leukocytosis was found. After excluding infection and other possibilities, we added 1,000 ml physiological saline to the patient through the vein. The white blood cell (WBC) count returned to normal in a short time. CONCLUSION: Before MECT, it is necessary to screen blood cytology. During and after MECT, we should be alert to leukocytosis that may be related to MECT and deal with it correctly in time.
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spelling pubmed-91863362022-06-11 A Case Report of Leukocytosis During Modified Electroconvulsive Therapy of Paranoid Personality Disorder Mu, Xingyu Xu, Jiao Lin, Peilin Luo, Ya Zhu, Yuan Shi, Yi Chen, Shangtao Wu, Zengxiang Li, Shuangqing Front Psychiatry Psychiatry INTRODUCTION: Modified electroconvulsive therapy (MECT) is a viable therapeutic option for patients with mood disorders and schizophrenia. We found that there is a relationship between MECT and leukocytosis. To the best of our knowledge, this is the first case of this problem. There are no relevant guidelines recommending the risk of leukocytosis caused by MECT, nor the method to reduce the risk. We hope to share this case to provide a reference for the prevention and treatment of similar patients with leukocytosis during or after MECT and remind psychiatrists to pay attention to this risk of leukocytosis before making the decision of MECT while knowing how to deal with it. CASE PRESENTATION: We describe a case of a 24-year-old woman diagnosed with Paranoid personality disorder (PPD) whose symptoms began at 19 years old. Her main clinical manifestations are feeling targeted, cheated, tracked, misunderstood, and repeating action. Since antipsychotic treatment was ineffective, we considered MECT. After MECT, the patient’s body temperature increased, and leukocytosis was found. After excluding infection and other possibilities, we added 1,000 ml physiological saline to the patient through the vein. The white blood cell (WBC) count returned to normal in a short time. CONCLUSION: Before MECT, it is necessary to screen blood cytology. During and after MECT, we should be alert to leukocytosis that may be related to MECT and deal with it correctly in time. Frontiers Media S.A. 2022-05-26 /pmc/articles/PMC9186336/ /pubmed/35693976 http://dx.doi.org/10.3389/fpsyt.2022.899847 Text en Copyright © 2022 Mu, Xu, Lin, Luo, Zhu, Shi, Chen, Wu and Li. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Mu, Xingyu
Xu, Jiao
Lin, Peilin
Luo, Ya
Zhu, Yuan
Shi, Yi
Chen, Shangtao
Wu, Zengxiang
Li, Shuangqing
A Case Report of Leukocytosis During Modified Electroconvulsive Therapy of Paranoid Personality Disorder
title A Case Report of Leukocytosis During Modified Electroconvulsive Therapy of Paranoid Personality Disorder
title_full A Case Report of Leukocytosis During Modified Electroconvulsive Therapy of Paranoid Personality Disorder
title_fullStr A Case Report of Leukocytosis During Modified Electroconvulsive Therapy of Paranoid Personality Disorder
title_full_unstemmed A Case Report of Leukocytosis During Modified Electroconvulsive Therapy of Paranoid Personality Disorder
title_short A Case Report of Leukocytosis During Modified Electroconvulsive Therapy of Paranoid Personality Disorder
title_sort case report of leukocytosis during modified electroconvulsive therapy of paranoid personality disorder
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9186336/
https://www.ncbi.nlm.nih.gov/pubmed/35693976
http://dx.doi.org/10.3389/fpsyt.2022.899847
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