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Psychiatric Symptoms Paraneoplastic and Legal Obligation to Combination Therapy

Published online by Cambridge University Press:  23 March 2020

M.D. Piqueras Acevedo*
Affiliation:
Hospital Santa Lucía, psychiatry, Cartagena, Spain
I. Martínez Pérez
Affiliation:
Residencia Psicogeriátrica Virgen del Valle, Residencia Psicogeriátrica, Murcia, Spain
M.R. Raposo Hernández:
Affiliation:
Centro de trabajo: CSM de Cartagena, Centro de trabajo: CSM de Cartagena, Cartagena, Spain
A.L. González Galdámez
Affiliation:
Hospital General Universitario Santa Lucía, Hospital General Universitario Santa Lucía, Cartagena, Spain
A. Belmar Simó
Affiliation:
CSM de Cartagena, CSM de Cartagena, Cartagena, Spain
A. Gil Sánchez
Affiliation:
CSM MOlina, CSM MOlina, Murcia, Spain
M.E. Piqueras
Affiliation:
CSM Alberca, Murcia, Spain
C. Garcia Briñol
Affiliation:
Hospital General Universitario Santa Lucia, Hospital General Universitario Santa Lucia, Cartagena, Spain
I. Bello Pombo
Affiliation:
CSM deCartagena, Cartagena, Spain
A. Busaileh Salas
Affiliation:
Hospital Universitario Santa Lucia, Hospital Universitario Santa Lucia, Cartagena, Spain
A. Navarro
Affiliation:
Centro de trabajo: Hospital Universitario Santa Lucia, Centro de trabajo: Hospital Universitario Santa Lucia, Murcia, Spain
C. Alsuhail Lopez Blanco
Affiliation:
Profesión: Médico no psiquiatraCentro de trabajo: Centro de Salud Cartagena Oeste, Profesión: Médico no psiquiatraCentro de trabajo: Centro de Salud Cartagena Oeste, Murcia, Spain
J.M. peñalver
Affiliation:
Hospital Universitaro Santa Lucía, Hospital Universitario Santa Lucía, Cartagena, Spain
*
*Corresponding author.

Abstract

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Women 49-year-old with a history of left mastectomy for breast Ca. The patient is brought to the emergency by his family for disorderly conduct compatible with manic phase and psychotic symptoms by delirious speech mystical-religious content refusal of the patient to be evaluated by any medical decision and abandoned chemotherapy. Initial screening is performed from the emergency department of organic pathology (TAC without findings and normalcy in other PC). At the beginning of involuntary admission income that is corroborated by the commission judicial, a request of the family and given the history of abandonment IC Oncology treatment is performed as a result of which it is found that the onset of the psychiatric clinic communicates matches the decision to abandon treatment; after reassessment of the clinical status of the patient and recommendation by her oncologist to resume treatment with RT to court new authorization for further diagnosis and initiation of treatment after assessment by forensic and judge is granted a week tests requested. After screening of limbic encephalitis but positive AC. SD income it is maintained and combined treatment is performed. At discharge, the patient is stable DP vs. psychopathology with good controls over concomitant breast disease.

Results

The need for medical treatment in organic pathology is justified even against the will of the patient in the context of represen

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EV700
Copyright
Copyright © European Psychiatric Association 2016
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