Psychiatric Symptoms in a Patient with Churg-Strauss Syndrome

• Published in: Internal Medicine Vol. 51; no. 3; pp. 301 - 303
• Main Authors: Tezuka, Toshifumi, Azuma, Masahiko, Goto, Hisatugu, Nishioka, Yasuhiko, Sone, Saburo
• Format: Journal Article
• Language: English
• Published: Japan The Japanese Society of Internal Medicine 01.01.2012
• Subjects: Aged; cerebral infarction; Cerebral Infarction - complications; Cerebral Infarction - diagnosis; Cerebral Infarction - psychology; Churg-Strauss syndrome; Churg-Strauss Syndrome - complications; Churg-Strauss Syndrome - diagnosis; Churg-Strauss Syndrome - psychology; Humans; Male; Mental Disorders - complications; Mental Disorders - diagnosis; Mental Disorders - psychology; psychiatric symptoms
• ISSN: 0918-2918; 1349-7235
• DOI: 10.2169/internalmedicine.51.6447

We report a case of Churg-Strauss syndrome (CSS) in a patient with multiple cerebral infarctions and psychotic symptoms. A 67-year-old man presented a high-grade fever and delirium. He was clinically diagnosed with Churg-Strauss syndrome on the basis of the presence of asthma, neuropathy, blood eosinophilia, and increased myeloperoxidase-specific anti-neutrophil cytoplasmic antibody (MPO-ANCA) activities. Though multiple cerebral infarctions are irreversible, this patient's psychiatric symptoms improved with steroid treatment. Psychiatric symptoms associated with CSS are very rare.