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Baylor University Medical Center Proceedings
The peer-reviewed journal of Baylor Scott & White Health
Volume 32, 2019 - Issue 4
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Case Studies

Steroid-induced psychosis

Michael JanesDepartment of Family and Community Medicine, Baylor Scott & White Health and Texas A&M Health Science Center College of Medicine, Temple, Texas
, MD,
Shaw KusterDepartment of Family and Community Medicine, Baylor Scott & White Health and Texas A&M Health Science Center College of Medicine, Temple, Texas
, MD,
Tove M. GoldsonDepartment of Family and Community Medicine, Baylor Scott & White Health and Texas A&M Health Science Center College of Medicine, Temple, TexasORCID Iconhttp://orcid.org/0000-0002-1250-587X
, MD, PhDORCID Icon &
Samuel N. ForjuohDepartment of Family and Community Medicine, Baylor Scott & White Health and Texas A&M Health Science Center College of Medicine, Temple, TexasCorrespondence[email protected]
ORCID Iconhttp://orcid.org/0000-0003-2472-6933
, MD, MPH, DrPHORCID Icon
Pages 614-615 | Received 29 Apr 2019, Accepted 05 Jun 2019, Published online: 22 Jul 2019
 
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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.

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