Suicidal thoughts and suicide attempts in Sydenham's chorea: a case report/Sydenham koresinde intihar dusunceleri ve intihar girisimi: Bir olgu sunumu

Sydenham's chorea is the most common cause of acute onset chorea in childhood; psychiatric signs and symptoms are often accompanied its clinic. After the clinical motor and cardiac symptoms, patients with Sydenham's chorea have also been presented with the obsessive-compulsive symptoms, anxiety, depression, attention problems and emotional lability. However, in the literature, it could not be reached on a case with the suicidal thoughts or suicide attempts. In addition, although there is not enough data on how to treat the signs and symptoms that accompany psychiatric clinic, the drugs used in the treatment are known to increase the risk of psychiatric signs and symptoms. In this case, 9-year-old male patient with a diagnosis of acute Sydenham Korea whose psychiatric signs and symptoms increased with treatment, who had attempted suicide, is going to be presented and we aimed to draw attention and to discuss these issues. (Anatolian Journal of Psychiatry 2016; 17(Suppl.3):20-23) Keywords: Sydenham's chorea, children, suicidal ideation, suicide attempt Sydenham koresi cocukluk cagi akut baslangicli korenin en sik nedeni olup klinigine siklikla psikiyatrik bulgu ve belirtiler eslik eder. Sydenhan koreli hastalar, motor ve kardiyak belirtilerden sonra klinige en sik obsesif kompulsif belirtiler, anksiyete, depresyon, dikkat sorunlari ve duygusal oynaklik ile getirilmektedirler. Bununla birlikte, literaturde intihar dusunceleri olan veya intihar girisiminde bulunmus bir olguya ulasilamamistir. Ayrica klinigine eslik eden psikiyatrik bulgu ve belirtilerin nasil tedavi edilecegine iliskin yeterli veri olmamakla birlikte, tedavide kullanilan ilaclarin da psikiyatrik bulgu ve belirtileri artirma riski oldugu bilinmektedir. Bu olgu sunumunda akut Sydenham koresi tanisi konmus, tedavi ile psikiyatrik bulgu ve belirtilerinde artis gozlenmis, intihar girisiminde bulunmus, dokuz yasindaki bir erkek hasta uzerinden bu konuya dikkat cekilmesi ve tartisilmasi hedeflenmistir. (Anadolu Psikiyatri Derg 2016; 17(Ek.3):20-23) Anahtar sozcukler: Sydenham koresi, cocuk, intihar dusunceleri, intihar girisimi