Psychogenic Vomiting Considered as Co-Morbidity With Tuberculosis in Adolescents

Abstract

A twelve-year-old girl with disseminated Tuberculosis was complicated by psychogenic vomiting and multiple drugs' adverse effects. She was admitted to our hospital, complaining of fever, cough and abdominal pain. Diagnosis of TB was obtained by abdominal CT-scan and open liver biopsy. During the anti-TB treatment, hepatitis, hemolytic anemia and pancreatitis occurred due to some drugs' side effects In addition, her main complaint was of persistent nausea which made all probable somatic basis ruled out, since she did not also show response to routine antiemetic treatment. As a result, the patient's depression as well as the appropriate response to anti-depressant therapy helped us in confirming the diagnosis of psychogenic vomiting.