title: Catatonic episode after kidney transplantation.
abstract: There is a growing body of case reports of catatonic symptoms after organ transplantations. A considerable number of these cases might be attributed to neurotoxicity induced by immunosuppressive medications. However, the etiology of other cases remains unclear. We present the case of a 21-year-old woman who developed catatonia after kidney transplantation from a deceased donor. In this case, nontoxic tacrolimus levels were found, and other causal factors including infections, uremia or transplant rejection were excluded. Electroconvulsive therapy followed by olanzapine proved to be effective treatment.
authors.affiliation: Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Poland. Electronic address: mariok@tlen.pl.
authors.forename: Mariusz
authors.initials: M
authors.lastname: Kusztal
authors.affiliation: Department of Psychiatry, Wroclaw Medical University, Poland.
authors.forename: Patryk
authors.initials: P
authors.lastname: Piotrowski
authors.affiliation: Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Poland.
authors.forename: Oktawia
authors.initials: O
authors.lastname: Mazanowska
authors.affiliation: Department of Psychiatry, Wroclaw Medical University, Poland; Department of Genetics, Wroclaw Medical University, Poland.
authors.forename: Błażej
authors.initials: B
authors.lastname: Misiak
authors.affiliation: Department of Psychiatry, Wroclaw Medical University, Poland.
authors.forename: Monika
authors.initials: M
authors.lastname: Kantorska-Janiec
authors.affiliation: Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Poland.
authors.forename: Maria
authors.initials: M
authors.lastname: Boratyńska
authors.affiliation: Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Poland.
authors.forename: Marian
authors.initials: M
authors.lastname: Klinger
authors.affiliation: Department of Psychiatry, Wroclaw Medical University, Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Kiejna
mesh_terms: D000328:Adult; D014150:Antipsychotic Agents / Q000008:administration & dosage / Q000494:pharmacology; D001569:Benzodiazepines / Q000008:administration & dosage / Q000494:pharmacology; D002389:Catatonia / Q000209:etiology* / Q000628:therapy; D004565:Electroconvulsive Therapy / Q000379:methods; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D000077152:Olanzapine; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D014150:Antipsychotic Agents; D001569:Benzodiazepines; D000077152:Olanzapine
keywords: Catatonia; Electroconvulsive therapy; Kidney transplantation; Olanzapine