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.
Kerman University of Medical Sciences and Health Services, Kerman, Iran. alireza34200@yahoo.com
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Nejad
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