European Psychiatry - Volume 41

25th European Congress of Psychiatry / European Psychiatry 41S (2017) S710–S771

S771

Conclusions

Screening for PCHE levels in the pre-ECT assess-

ments is efficacious in order to decrease the complications of the

ECT procedure.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2017.01.1455

EV1126

Electroconvulsive therapy in

drug-resistant paranoid

schizophrenia on patient with

transplanted kidney – Case study

A. Zdanowicz

1 ,

∗

, P. Wierzbinski

Medical University, Department of Adult Psychiatry, Lodz, Poland

Outpatient practice, Medsolver, Lodz, Poland

∗

Corresponding author.

The 22-year-old female patient had her first direct encounter

with a psychiatrist in 2009 due to low mood, anxiety, anhedo-

nia, lack of energy and olfactory hallucinations. Diagnosed with

delusional depression syndrome, she was treated with SSRI group,

and then combined with LLP group. In 2009, she was hospital-

ized in the Ward of kidney diseases and dialysis due to severe

kidney failure, HA affecting the heart and the kidneys and facial

nerve paralysis. In May 2012, she had a kidney transplanted from

the deceased donor, which led to graft-versus-host disease. She

received immunosuppressive therapy. In October 2012, she was

diagnosed with paranoid syndrome. She was initially treated with

levomepromazine 75mg/d and amisulpride 800mg/d (no results),

then Olanzapine 20mg/d and aripiprazole 15mg/d (no results).

After 10 week hospitalization she was discharged in a slightly

improved mental state. Three weeks later, she was hospitalized

again in a psychiatric institution where she received olanzapine

20mg/d andhaloperidol 6mg/d (no results). Due to the severemen-

tal condition, she was qualified for electroconvulsive therapy. In

the end, the therapy met with the general positive reviews of con-

sultants of different specialties. After 7 (of the 18) treatments the

patient reached a significantly improved mental state with almost

no sign of psychotic experiences andwith a better day-to-day func-

tioning. To the best of the authors’ knowledge, it is the first case

of ECT on the patient who was the subject of a kidney transplant,

and is one of the very few that have taken place in the entire

world.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2017.01.2262