Article information
Resumen
Introducción
La presencia de enfermedad somática y alteración mental de tipo psicótico permite considerar la posibilidad de una psicosis orgánica.
ObjetivoDiscutir el curso clínico de una paciente con psicosis orgánica asociada a una encefalopatía reversible posterior (PRES) por síndrome nefrótico.
MétodoReporte de caso.
ResultadosSe reseña el caso de una adolescente de 14 años de edad con síndrome nefrótico, emergencia hipertensiva y estatus convulsivo. Al recuperar la conciencia, presentó cambios agitación psicomotora y cambios comportamentales con síntomas psicóticos.
Discusión y conclusionesLa sospecha de psicosis orgánica debe orientar al clínico a detectar causas potencialmente corregibles.
Palabras clave:
psicosis
encefalopatías PRES
síndrome nefrótico
Abstract
Introduction
The presence of somatic illness and mental deterioration with psychosis suggests the possibility of organic psychosis.
ObjectiveTo discuss the clinical course of a patient with organic psychosis associated with posterior reversible encephalopathy (PRES) due to nephrotic syndrome.
MethodCase report.
ResultsWe report a 14-year-old girl with nephrotic syndrome, hypertensive emergency, and convulsive status. Regaining consciousness introduced behavioral changes with psychomotor agitation and psychotic symptoms.
Discussion and ConclusionsThe suspicion of organic psychosis should guide the clinician to identify potentially correctable causes.
Key words:
Psychosis
brain diseases
PRES
nephrotic syndrome
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