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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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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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. |
format | Online Article Text |
id | pubmed-9186336 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
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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