Catatonic episode after kidney transplantation

General Hospital Psychiatry (Impact Factor: 2.61). 01/2014; 36(3). DOI: 10.1016/j.genhosppsych.2014.01.001


There is a growing body of case reports of catatonic symptoms after organ transplantations. A considerable number of these cases might be attributed to neurotoxicity induced by immunosuppressive medications. However, the etiology of other cases remains unclear. We present the case of a 21-year-old woman, who developed catatonia after kidney transplantation from deceased donor. In this case non-toxic tacrolimus levels were found and other causal factors including infections, uremia or transplant rejection were excluded. Electroconvulsive therapy followed by olanzapine proved to be effective treatment.

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Available from: Patryk Piotrowski, Oct 22, 2014