During and after MECT, we should be alert to leukocytosis that may be related to MECT and deal with it correctly in time. The white blood cell (WBC) count returned to normal in a short time.Ĭonclusion: Before MECT, it is necessary to screen blood cytology. After excluding infection and other possibilities, we added 1,000 ml physiological saline to the patient through the vein. After MECT, the patient’s body temperature increased, and leukocytosis was found. Since antipsychotic treatment was ineffective, we considered MECT. Her main clinical manifestations are feeling targeted, cheated, tracked, misunderstood, and repeating action. We hope to share this case to provide a reference for the prevention and treatment of similar patients with leukocytosis during or after MECT and remind psychiatrists to pay attention to this risk of leukocytosis before making the decision of MECT while knowing how to deal with it.Ĭase presentation: We describe a case of a 24-year-old woman diagnosed with Paranoid personality disorder (PPD) whose symptoms began at 19 years old. There are no relevant guidelines recommending the risk of leukocytosis caused by MECT, nor the method to reduce the risk. To the best of our knowledge, this is the first case of this problem. We found that there is a relationship between MECT and leukocytosis. Introduction: Modified electroconvulsive therapy (MECT) is a viable therapeutic option for patients with mood disorders and schizophrenia. 3Mental Health Center, West China Hospital of Sichuan University, Chengdu, China.2The University of Edinburgh, Edinburgh, United Kingdom.1Department of General Practice, West China Hospital, Sichuan University, Chengdu, China. Xingyu Mu 1 Jiao Xu 1 Peilin Lin 2 Ya Luo 3 Yuan Zhu 1 Yi Shi 1 Shangtao Chen 1 Zengxiang Wu 1 Shuangqing Li 1*
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