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Tijdschrift voor Psychiatrie 52 (2010) 4, 265 - 269

Case report

Sydenham chorea and psychosis

W. Mengde, A.Y. Jessurun

Sydenham chorea (sc) is a complication of a group A beta-haemolytic streptococcal infection which is characterised by involuntary, choreatic movements. There is a definitive link between sc and psychoses. Furthermore, patients with sc seem to run a greater risk of developing neurolepticinduced movement disorders. In this case-study of a 19-year-old psychotic male with a history of sc, the authors illustrate that this complicates the treatment of a psychotic episode.

keywords carbamazepine, schizophreniform disorder, Sydenham chorea