psychotic symptoms during hepatitis a infection: a rare case report from iran

psychosis, a relatively common condition that affects 3%-5% percent of the population, occurs in a variety of diagnostic contexts. various medical conditions may lead to the development of psychotic symptoms. to date psychotic disorders due to infection with hepatitis a virus (hav) have â been â rarely reported. in this paper, we described an acute psychotic disorder in an 18-year-old male diagnosed with â hepatitis a infection . he presented with complaints nausea, vomiting, fever, constipation and abdominal pain of a one week duration. the patient denied a history of substance abuse. neurological evaluation was normal. brain ct scan was remarkable for suspiciousâ  hyperdense lesions in the basal ganglia, however the eeg was normal. he had visualâ  hallucinations, persecutory delusion, disorganizedâ  behavior, personality changes, sleepâ  disturbances, and disorganizedâ  speech.â  a psychiatrist diagnosed the patient with psychoticâ  disorder dueâ  to hav and treated him with antipsychoticâ  medications. following the decline in liverâ  enzymeâ  levels and after several days, the patient became clinically well with regression of his psychiatric signs and schizophrenia-like symptoms. we believe this may be the first reported case of an acute psychotic disorder during active hav infection. based on the data we have collected from several references we conclude that the most probable reason for this accompaniment is a type of comorbidity between acute psychotic disorder and hav infection.