Hydrophobia as a rare presentation of Cotard's syndrome: a case report.
OBJECTIVE
To discuss a case of Cotard's syndrome in a 65-year-old male patient who refused to eat and drink.


METHODS
A single case is presented.


RESULTS
The patient was especially sensitive to water and showed panic reactions when he was offered a glass of water. These symptoms began when he deluded himself to believe that his stomach shrunk. Diagnosis was major depressive disorder with psychotic feature based on DSM-IV.


CONCLUSIONS
Hydrophobia as a symptom of Cotard's syndrome was not reported before. This symptom is often known as evidence of rabies but may be seen in Cotard's syndrome.
Nejad
A G
AG
Kerman University of Medical Sciences and Health Services, Kerman, Iran. alireza34200@yahoo.com
D000368:Aged; D000929:Antidepressive Agents, Tricyclic / Q000627:therapeutic use; D014150:Antipsychotic Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D004565:Electroconvulsive Therapy; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000523:psychology* / Q000628:therapy; D010546:Perphenazine / Q000627:therapeutic use; D011569:Psychiatric Status Rating Scales; D011818:Rabies / Q000175:diagnosis* / Q000523:psychology* / Q000628:therapy; D012720:Severity of Illness Index; D013577:Syndrome; D014299:Trimipramine / Q000627:therapeutic use
D000929:Antidepressive Agents, Tricyclic; D014150:Antipsychotic Agents; D014299:Trimipramine; D010546:Perphenazine