Electroconvulsive therapy (ECT) with ketamine induction for catatonia in an HIV positive patient
South African Journal of Psychiatry
| Field | Value | |
| Title | Electroconvulsive therapy (ECT) with ketamine induction for catatonia in an HIV positive patient | |
| Creator | Nel, Yvette Bracken, Craig A. | |
| Description | Introduction: The successful use of ECT as treatment for catatonia, in the context of HIV (human immunodeficiency virus) infection, has been described previously. Ketamine has been used as an anaesthetic induction agent for ECT, although not considered the induction agent of choice. There are also case reports suggesting that ketamine may be an alternative treatment specifically for catatonia.Patient presentation: This case report describes the management of a female patient who presented with catatonia, evidenced by stupor, waxy flexibility, mutism, negativism, and stereotypy, as well as stage four HIV infection, with poor response to previous psychotherapeutic interventions.Management and outcome: We describe the course of management of this patient with ECT, following poor initial clinical response to ECT with propofol induction, the subsequent use of ketamine as an anaesthetic induction agent for ECT, with associated improvement in seizure quality, and good overall clinical response to ECT demonstrated thereafter.Conclusion and contributions: This case report suggests that ketamine may be a viable induction agent for ECT in this clinical setting. | |
| Publisher | AOSIS | |
| Date | 2023-01-31 | |
| Identifier | 10.4102/sajpsychiatry.v29i0.1944 | |
| Source | South African Journal of Psychiatry; Vol 29 (2023); 4 pages 2078-6786 1608-9685 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajp.org.za/index.php/sajp/article/view/1944/2832
https://sajp.org.za/index.php/sajp/article/view/1944/2833
https://sajp.org.za/index.php/sajp/article/view/1944/2834
https://sajp.org.za/index.php/sajp/article/view/1944/2835
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