Publication:
Severe Anemia: A Case Report of an Uncommon Precipitant of Schizophrenia Relapse

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Issued Date

2023

Resource Type

Article

File Type

application/pdf

DOI

10.2147/JBM.S407722

Rights Holder(s)

Scopus

Bibliographic Citation

Journal of Blood Medicine. Vol 14, No. (2023), p.329-336

Suggested Citation

Anuroj K., Chongbanyatcharoen S., Chiencharoenthanakij R. Severe Anemia: A Case Report of an Uncommon Precipitant of Schizophrenia Relapse. Journal of Blood Medicine. Vol 14, No. (2023), p.329-336. doi:10.2147/JBM.S407722 Retrieved from: https://hdl.handle.net/20.500.14740/9041

Title

Severe Anemia: A Case Report of an Uncommon Precipitant of Schizophrenia Relapse

Author(s)

Anuroj K.
 Chongbanyatcharoen S.
 Chiencharoenthanakij R.

Other Contributor(s)

Srinakharinwirot University

Abstract

A 48-year-old patient with stable residual schizophrenia experienced a syndromic psychosis relapse following an episode of severe combined immunohemolytic and pure red cell aplastic anemia, with a hemoglobin level of 4.7 g/dl. The anemia was attributed to her anti-HIV medication zidovudine. Her HIV infection had been well-controlled; no other organic precipitant of the psychosis was found. Following transfusion of 2 units of leukocyte-poor packed red cells, schizophrenia symptoms promptly recovered to her baseline. This was maintained at 3-and 6-month follow-ups without any need for antipsychotic dose adjustment. Following zidovudine discontinuation and a short course of oral prednisolone, her anemia gradually recovered. © 2023 Anuroj et al.

Subject(s)

Hematologic
 HIV infection
 Neuropsychiatric
 Psychiatric
 Zidovudine

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URI

https://hdl.handle.net/20.500.14740/9041

Collections

Scopus: Year 2023

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