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Case Reports in Medicine
Volume 2016, Article ID 5101357, 3 pages
Case Report

When the Patient Believes That the Organs Are Destroyed: Manifestation of Cotard’s Syndrome

1Neuropsychiatry Department and Postgraduation in Neuropsychiatry and Behavior Sciences Program, The Federal University of Pernambuco, 50670-901 Recife, PE, Brazil
2Psychology Department, The ESUDA College, 50050-100 Recife, PE, Brazil
3Hospital of Mental Health Professor Frota Pinto, 60841-110 Fortaleza, CE, Brazil

Received 31 July 2016; Accepted 7 November 2016

Academic Editor: Hitoshi Okamura

Copyright © 2016 Leonardo Machado et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Cotard’s Syndrome (CS) is a rare clinical event described for the first time in 1880 by the neurologist and psychiatrist Jules Cotard and characterized by negation delusions (or nihilists). Immortality and hypochondriac delusions are also typical. Nowadays, it is known that CS can be associated with many neuropsychiatric conditions. In this article, we describe the case of a patient that believed not having more organs and having the body deformed and whose CS was associated with a bigger depressive disorder. Although the electroconvulsive therapy is the most described treatment modality in the literature, the reported case had therapeutic success with association of imipramine and risperidone.