title: Cotard's Syndrome after breast surgery successfully treated with aripiprazole augmentation of escitalopram: a case report.
abstract: In 1880 the French neurologist Jules Cotard described a condition characterized by delusion of negation (nihilistic delusion) in a melancholia context. Recently, there has been a resurgence of interest in Cotard's syndrome (CS), but the nosographical figure of CS remains unclear. It isn't determined if it pertains to the delusional themes area or if it is related to the sense of immanent ruin in some depressive episodes. For these reasons CS has recently been supposed to be an intermediate form. Furthermore, since even less is known about secondary CS in subjects who had never suffered of psychiatric disorders, in the present case we report the development of a secondary CS in a female patient who underwent a lumpectomy for the removal of a benign fibroadenoma. The patient responded well to aripiprazole augmentation of escitalopram and totally remitted.
authors.forename: Domenico
authors.initials: D
authors.lastname: De Berardis
authors.forename: Maurizio
authors.initials: M
authors.lastname: Brucchi
authors.forename: Nicola
authors.initials: N
authors.lastname: Serroni
authors.forename: Gabriella
authors.initials: G
authors.lastname: Rapini
authors.forename: Daniela
authors.initials: D
authors.lastname: Campanella
authors.forename: Federica
authors.initials: F
authors.lastname: Vellante
authors.forename: Alessandro
authors.initials: A
authors.lastname: Valchera
authors.forename: Michele
authors.initials: M
authors.lastname: Fornaro
authors.forename: Felice
authors.initials: F
authors.lastname: Iasevoli
authors.forename: Monica
authors.initials: M
authors.lastname: Mazza
authors.forename: Giuliana
authors.initials: G
authors.lastname: Lucidi
authors.forename: Giovanni
authors.initials: G
authors.lastname: Martinotti
authors.forename: Massimo
authors.initials: M
authors.lastname: di Giannantonio
mesh_terms: D000328:Adult; D000928:Antidepressive Agents / Q000627:therapeutic use*; D014150:Antipsychotic Agents / Q000627:therapeutic use*; D000068180:Aripiprazole / Q000627:therapeutic use*; D001943:Breast Neoplasms / Q000601:surgery; D015283:Citalopram / Q000627:therapeutic use*; D003866:Depressive Disorder / Q000188:drug therapy* / Q000209:etiology; D004359:Drug Therapy, Combination; D005260:Female; D018226:Fibroadenoma / Q000601:surgery; D006801:Humans; D015412:Mastectomy, Segmental; D013577:Syndrome; D016896:Treatment Outcome
chemical_list: D000928:Antidepressive Agents; D014150:Antipsychotic Agents; D015283:Citalopram; D000068180:Aripiprazole