Case Report on Koro-Like Syndrome in a Private Specialist Hospital in Port Harcourt, Nigeria
Keywords:
Koro syndrome,, case report, private specialist hospital, Port Harcourt, NigeriaAbstract
Background: Modern description of Koro syndrome is known to be endemic among Chinese populations in Southeast Asia, although the condition was first known among people in Southern Sulawesi in Indonesia, and is characterized by genital hyper-involution and fear of impending death. The aim of this study was to describe an uncommon condition in our area of practice – Koro-like syndrome in a young patient in a private specialist hospital in Port Harcourt Nigeria in May 2022.
Methods: A study was carried out using patient’s case notes, and presented as case report on an adult patient who came to a private hospital in Port Harcourt, the capital city of Rivers State, Nigeria.
Results/Case Summary: The patient was a 37-year-old private religious businessman, who presented at the Emergency Department of a private hospital in May 2022 with complaints of upper abdominal pain radiating to the chest and upper back, inability to sleep, palpitations, disappearing penis, feeling of something crawling on the head, hearing some sounds, all of about 5months duration, usually preceded by aura of perceiving odour of blood. He had coherent speech, delusional thoughts, poor judgement, and lacking in insight. Other systems examination was unremarkable except for elevated blood pressure of 150/100mmHg, epigastric tenderness and a retracted penis. Patient had significant improvement with anti-anxiety medications.
Conclusion: An anxiety related disorder that is associated with strong conviction of genital retraction and fear of death is reported.
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