title: Catatonia and multiple pressure ulcers: A rare complication in psychiatric setting.
abstract: The incidence of pressure ulcers in patients with psychiatric illness, especially with catatonia might be more than what is reported in the literature. We report a case of catatonia secondary to severe depression presenting with multiple pressure ulcers. Single case report - description and management. An 18 yrs old boy reported with a continuous course illness characterized by features of catatonia secondary to severe depression with multiple pressure ulcers over sacrum and heels. Ulcers were effectively managed by a multidisciplinary team of physiatrist, psychiatrist, and rehabilitation nurses. Immobility, reduced nocturnal movements, increased skin fragility, and poor nutrition contribute to the development of the pressure ulcer in bed-bound psychiatric patients. Efforts should be directed toward the prevention of pressure ulcers in these patients to reduce additional morbidity.
authors.affiliation: Departments of Psychiatric and Neurological Rehabilitation, National Institute of Mental Health and Neurosciences, Bangalore, India.
authors.forename: Abhishek
authors.initials: A
authors.lastname: Srivastava
authors.forename: Anupam
authors.initials: A
authors.lastname: Gupta
authors.forename: Pratima
authors.initials: P
authors.lastname: Murthy
authors.forename: Thyloth
authors.initials: T
authors.lastname: Murali