Steroid-induced psychosis

Michael Janes; Shaw Kuster; Tove M Goldson; Samuel N Forjuoh

doi:10.1080/08998280.2019.1629223

Steroid-induced psychosis

Proc (Bayl Univ Med Cent). 2019 Jul 22;32(4):614-615. doi: 10.1080/08998280.2019.1629223. eCollection 2019 Oct.

Authors

Michael Janes¹, Shaw Kuster¹, Tove M Goldson¹, Samuel N Forjuoh¹

Affiliation

¹ Department of Family and Community Medicine, Baylor Scott & White Health and Texas A&M Health Science Center College of MedicineTempleTexas.

Abstract

Steroid-induced psychosis is a well-documented phenomenon. It usually occurs with oral systemic steroid treatment and is more common at higher doses, although there are case reports of occurrence with local steroid injections. We report a case of a 35-year-old man with no previous history of psychosis who was seen for follow-up after a brief psychotic episode following an injection of 5 mg of dexamethasone into his scrotum the previous day. The injection was given to treat chronic pain from a combat injury.

Keywords: DSM-5; Dexamethasone; psychotic episode; steroid treatment; steroid-induced psychosis.

Publication types

Case Reports