REZA BIDAKI,1 Masoud RADMAN,2 Nader MOSTAFAVI,3 Ali PANAHI,4 Seyyed Mohammad Mahdy MIRHOSSEINI5 and Mehran KARIMI6

CASE REPORT

Abstract


A 15 years-old girl with diabetes mellitus after a major stress expressed that a group of viruses invaded her gastrointestinal tract and a clump adherent damaged these organs (acute stress disorder and then nihilistic delusion). No evidence of HIV infection was found, but she believed that she was carrier for viruses (aids neurosis). She was resistant and sensitive to pharmacotherapy and psychotherapy, but response to Electroconvulsive therapy ECT (six sessions) was favorable. Stress management helped her physicians to control her blood sugar.

Key words: Diabetes mellitus, Somatic delusion, Acute stress disorder

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1Assistant professor of Psychiatry. Rafsanjan university of medical sciences, Rafsanjan, Iran
2Assistant professor of Otolaryngology. Rafsanjan university of medical sciences, Rafsanjan, Iran
3Specialist in Legal medicine & Toxicology. Shahid Sadoughi University of Medical Sciences, Yazd, Iran
4Assistant professor of Urology. Rafsanjan university of medical sciences, Rafsanjan, Iran
5Student of medicine, Medical Students Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
6Professor of pediatrics, Department of Pediatrics, Shahid Sadoughi University of Medical Sciences & Health Services, Yazd, Iran