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Recognizing Diogenes syndrome: a case report.

Irvine JD, Nwachukwu K - BMC Res Notes (2014)

Bottom Line: She had no insight into any personal hygiene or public health problems.Patients with Diogenes syndrome may be difficult to identify.Knowledge of the characteristics of Diogenes syndrome can aid in earlier recognition of such individuals, in order to decrease morbidity and mortality, and to improve public health.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Academic Family Medicine, College of Medicine, University of Saskatchewan, La Ronge, Saskatchewan, Canada. jdi974@mail.usask.ca.

ABSTRACT

Background: Diogenes syndrome is a behavioural disorder characterized by domestic squalor, extreme self-neglect, hoarding, and lack of shame regarding one's living condition. Patients may present due to a range of reasons. Recognizing these will allow for earlier management of this high-mortality condition.

Case presentation: 61-year Caucasian female known with bipolar 1 disorder presented with manic symptoms. She was very unkempt and foul smelling. After being admitted involuntarily, she requested that someone go to her home to feed her pets. Her house was filled with garbage, rotting food, and animal feces. She had no insight into any personal hygiene or public health problems.

Conclusions: Patients with Diogenes syndrome may be difficult to identify. Knowledge of the characteristics of Diogenes syndrome can aid in earlier recognition of such individuals, in order to decrease morbidity and mortality, and to improve public health.

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Related in: MedlinePlus

Bathroom. This is the state in which the bathroom was found in the patient’s house. The patient had been using the toilet for both toileting and periodically washing her dishes.
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Figure 1: Bathroom. This is the state in which the bathroom was found in the patient’s house. The patient had been using the toilet for both toileting and periodically washing her dishes.

Mentions: The following day she was adamant about having to go feed her cats and dogs, and eventually gave permission for a Community Mental Health Nurse enter her house to attend to her pets. Upon entering the house, it was found to be in complete disarray. The house was crammed with filthy clothes, garbage, dirty dishes, and rotting food. There was no kitchen sink in sight, and it looked as if some dishes were being cleaned in the toilet (see Figures 1 and2). Any clear space of floor was strewn with cat and dog feces. An unbearable stench emanated from the entire two-story home. Upon questioning the patient regarding the state of her home and personal hygiene, the patient had no insight into any problems. At this time, a diagnosis of Diogenes syndrome was suspected.


Recognizing Diogenes syndrome: a case report.

Irvine JD, Nwachukwu K - BMC Res Notes (2014)

Bathroom. This is the state in which the bathroom was found in the patient’s house. The patient had been using the toilet for both toileting and periodically washing her dishes.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4016666&req=5

Figure 1: Bathroom. This is the state in which the bathroom was found in the patient’s house. The patient had been using the toilet for both toileting and periodically washing her dishes.
Mentions: The following day she was adamant about having to go feed her cats and dogs, and eventually gave permission for a Community Mental Health Nurse enter her house to attend to her pets. Upon entering the house, it was found to be in complete disarray. The house was crammed with filthy clothes, garbage, dirty dishes, and rotting food. There was no kitchen sink in sight, and it looked as if some dishes were being cleaned in the toilet (see Figures 1 and2). Any clear space of floor was strewn with cat and dog feces. An unbearable stench emanated from the entire two-story home. Upon questioning the patient regarding the state of her home and personal hygiene, the patient had no insight into any problems. At this time, a diagnosis of Diogenes syndrome was suspected.

Bottom Line: She had no insight into any personal hygiene or public health problems.Patients with Diogenes syndrome may be difficult to identify.Knowledge of the characteristics of Diogenes syndrome can aid in earlier recognition of such individuals, in order to decrease morbidity and mortality, and to improve public health.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Academic Family Medicine, College of Medicine, University of Saskatchewan, La Ronge, Saskatchewan, Canada. jdi974@mail.usask.ca.

ABSTRACT

Background: Diogenes syndrome is a behavioural disorder characterized by domestic squalor, extreme self-neglect, hoarding, and lack of shame regarding one's living condition. Patients may present due to a range of reasons. Recognizing these will allow for earlier management of this high-mortality condition.

Case presentation: 61-year Caucasian female known with bipolar 1 disorder presented with manic symptoms. She was very unkempt and foul smelling. After being admitted involuntarily, she requested that someone go to her home to feed her pets. Her house was filled with garbage, rotting food, and animal feces. She had no insight into any personal hygiene or public health problems.

Conclusions: Patients with Diogenes syndrome may be difficult to identify. Knowledge of the characteristics of Diogenes syndrome can aid in earlier recognition of such individuals, in order to decrease morbidity and mortality, and to improve public health.

Show MeSH
Related in: MedlinePlus