J Korean Soc Biol Ther Psychiatry.  2023 Feb;29(1):20-24. 10.22802/jksbtp.2023.29.1.20.

A Case of Subacute Psychosis in a Patient With Germ Cell Tumor

Affiliations
  • 1Department of Psychiatry, Pusan National University Hospital, Busan, Korea
  • 2Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
  • 3Department of Psychiatry, Pusan National University College of Medicine, Busan, Korea
  • 4Department of Psychiatry, Uijeongbu Eulji Medical Center, Uijeongbu, Korea

Abstract

We report a case of subacute psychotic symptoms in a patient with germ cell tumor (GCT). The 32-year-old male patient showed progressive psychotic symptoms with diagnosis of GCT. His psychotic symptoms included delusions of reference and persecution. Brain magnetic resonance imaging, electroencephalography, and laboratory examinations were performed to evaluate any other causes. The clinical, neuroimaging, and laboratory review in this case suggested that the progressively developed psychotic symptoms that led to chronic deterioration were caused by the GCT. This is the case report in which subacute atypical psychotic symptoms in his thirties could develop from a GCT based on previous basic research findings showing the correlations of psychotic symptoms with GCT although it has the limitation of so early speculation.

Keyword

Germ cell; Tumor; Delusion; Psychosis
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