{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T10:29:07Z","timestamp":1766399347525,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,12,12]]},"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p>Coprophagia or the ingestion of faeces has been associated with medical conditions (seizure disorders, cerebral atrophy and tumours) and psychiatric disorders (intellectual disability, alcoholism, depression, obsessive compulsive disorder, schizophrenia, fetishes, delirium and dementia). The case of a woman in her 30s presenting with coprophagia and psychotic symptoms following hypoxic brain injury is reported. The case is discussed and literature is reviewed. We investigate cariprazine, a relatively new atypical antipsychotic for treating coprophagia, associated with psychotic symptoms. Psychiatric evaluation revealed cognitive dysfunction and psychotic symptoms. Physical examination and laboratory evaluation were unremarkable. She was treated with haloperidol resulting in resolution of coprophagia. Attempts at switching to alternative antipsychotics, due to side effects, resulted in recurrence of coprophagia. Subsequent relapses required higher doses of haloperidol for remission of coprophagia and psychotic symptoms. She finally responded to cariprazine. While firm conclusions are not possible from the experience of a single case, we suggest cariprazine may also be a treatment option for coprophagia, particularly in patients with psychotic symptoms.<\/jats:p>","DOI":"10.1136\/bcr-2022-248855","type":"journal-article","created":{"date-parts":[[2023,1,2]],"date-time":"2023-01-02T10:55:12Z","timestamp":1672656912000},"page":"e248855","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Cariprazine for treating coprophagia and organic psychosis in a young woman with acquired brain injury"],"prefix":"10.1136","volume":"16","author":[{"given":"Emma","family":"Collison-Ani","sequence":"first","affiliation":[{"name":"Neuropsychiatry Division, St Andrew's Healthcare, Northampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anissa","family":"Faher","sequence":"additional","affiliation":[{"name":"University of Cambridge medical school, University of Cambridge, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus","family":"Au","sequence":"additional","affiliation":[{"name":"University of Cambridge medical school, University of Cambridge, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gayathri","family":"Burrah","sequence":"additional","affiliation":[{"name":"Neuropsychiatry Division, St Andrew's Healthcare, Northampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,1,2]]},"reference":[{"key":"2025082710291372000_16.1.e248855.1","first-page":"142","article-title":"Illustrating and evaluating the psychosexual symbolic meaning of the coprophilia through the film of Sal\u00f2, or the 120 days of Sodom","volume":"22","author":"Korasz","year":"2016","journal-title":"Psychodyn Pract"},{"key":"2025082710291372000_16.1.e248855.2","doi-asserted-by":"crossref","DOI":"10.1176\/ajp.152.2.295a","article-title":"Treatment of coprophagia with carbamazepine","volume":"152","author":"Stewart","year":"1995","journal-title":"Am J Psychiatry"},{"key":"2025082710291372000_16.1.e248855.3","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1007\/s00415-016-8096-1","article-title":"Coprophagia in neurologic disorders","volume":"263","author":"Josephs","year":"2016","journal-title":"J Neurol"},{"key":"2025082710291372000_16.1.e248855.4","doi-asserted-by":"crossref","DOI":"10.1055\/s-2006-941487","article-title":"Effective treatment of coprophagia in a patient with schizophrenia with the novel atypical antipsychotic drug perospirone","volume":"39","author":"Harada","year":"2006","journal-title":"Pharmacopsychiatry"},{"key":"2025082710291372000_16.1.e248855.5","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7916(94)00065-T"},{"key":"2025082710291372000_16.1.e248855.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60995-8"},{"key":"2025082710291372000_16.1.e248855.7","doi-asserted-by":"publisher","DOI":"10.3109\/15622975.2011.630408"},{"key":"2025082710291372000_16.1.e248855.8","doi-asserted-by":"crossref","unstructured":"Coprophagia and Entomophagia in a Patient with Alcohol Related Dementia [Internet], 2021. Available: https:\/\/www.hindawi.com\/journals\/crips\/2017\/3109463\/","DOI":"10.1155\/2017\/3109463"},{"key":"2025082710291372000_16.1.e248855.9","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1007\/s10882-005-6619-2","article-title":"Naturalistic inquiry and treatment of Coprophagia in one individual","volume":"17","author":"Baker","year":"2005","journal-title":"J Dev Phys Disabil"},{"key":"2025082710291372000_16.1.e248855.10","unstructured":"Coprophagia as an Unusual Presentation of Catatonia - PubMed [Internet], 2021. Available: https:\/\/pubmed.ncbi.nlm.nih.gov\/34000156\/"},{"key":"2025082710291372000_16.1.e248855.11","doi-asserted-by":"publisher","DOI":"10.1159\/000284537"},{"key":"2025082710291372000_16.1.e248855.12","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2018\/5157879","article-title":"The pathophysiology and management of Coprophagia: a report of two cases and literature review","volume":"2018","author":"Azizi","year":"2018","journal-title":"Case Rep Psychiatry"},{"key":"2025082710291372000_16.1.e248855.13","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1007\/s40263-017-0442-z","article-title":"Cariprazine: a review in schizophrenia","volume":"31","author":"Garnock-Jones","year":"2017","journal-title":"CNS Drugs"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-248855","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:29:18Z","timestamp":1756315758000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-248855"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":13,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,1,2]]},"published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1136\/bcr-2022-248855"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-248855","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,1]]}}}