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Year : 2012  |  Volume : 34  |  Issue : 4  |  Page : 407-408  

Psychosis and E. coli Infection: A Forgotten Issue

Wiwanitkit House, Bangkhae, Bangkok, Thailand

Date of Web Publication7-Mar-2013

Correspondence Address:
Viroj Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0253-7176.108241

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How to cite this article:
Wiwanitkit V. Psychosis and E. coli Infection: A Forgotten Issue. Indian J Psychol Med 2012;34:407-8

How to cite this URL:
Wiwanitkit V. Psychosis and E. coli Infection: A Forgotten Issue. Indian J Psychol Med [serial online] 2012 [cited 2020 Jun 5];34:407-8. Available from:


The outbreak of Escherichia coli infection from Germany that is presently widespread in many countries is a really important medical problem. The well-known intestinal manifestation and its complication, hemolytic uremic syndrome, are well recognized. However, the psychiatric problems due to the infection are mentioned rarely. Indeed, the E. coli infection can have a psychotic manifestation. This can be the result of neurological involvement, meningitis. [1] In addition, the use of certain antibiotics in the treatment of the infection can also induce acute psychotic symptoms. [2],[3] As the psychosis can be an uncommon first clinical presentation of a new case in a new setting, it is wise to think of the E. coli infection as a differential diagnoses in the present situation of widespread E. coli epidemic.

   References Top

1.Scheid W, Kunst H. Escherichia coli meningitis in adults. Psychiatr Neurol Med Psychol (Leipz) 1970;22:441-4.  Back to cited text no. 1
2.Gregor JC, Zilli CA, Gotlib IH. Acute psychosis associated with oral trimethoprim-sulfamethoxazole therapy. Can J Psychiatry 1993;38:56-8.  Back to cited text no. 2
3.Zazgornik J, Schmidt P, Lugscheider R, Kopsa H. Acute renal failure following combined cephaloridine-gentamycin therapy (author's transl). Wien Klin Wochenschr 1973;85:839-41.  Back to cited text no. 3

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