Evidence map›Paper›PMID 41341487›Full record

ArticlePCN reports : psychiatry and clinical neurosciences2025

A case of Klinefelter syndrome presenting with an acute psychotic episode after COVID-19 infection.

Ryosuke Fujii, Sho Kanata, Yukako Watanabe, Hiroshi Kunugi

Abstract read
In one paragraph

Article in PCN reports : psychiatry and clinical neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ryosuke FujiiDepartment of Psychiatry Teikyo University School of Medicine Itabashi-ku Tokyo Japan.ORCID https://orcid.org/0009-0008-2937-2998
Sho KanataDepartment of Psychiatry Teikyo University School of Medicine Itabashi-ku Tokyo Japan.ORCID https://orcid.org/0000-0002-7797-575X
Yukako WatanabeDepartment of Psychiatry Teikyo University School of Medicine Itabashi-ku Tokyo Japan.
Hiroshi KunugiDepartment of Psychiatry Teikyo University School of Medicine Itabashi-ku Tokyo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Klinefelter syndrome (KS) is a disease caused by a 47, XXY sex chromosome abnormality. It has been reported that KS not only causes physical problems but also confers the risk of developing psychiatric disorders, such as schizophrenia, bipolar disorder, and autism spectrum disorder. Case Presentation: Here we present a case of an 18-year-old male with complete KS who developed an acute psychotic episode after COVID-19 infection. The patient presented a catatonic state with stupor, rejection of others, and hallucinations that led him to self-injury. Psychotic symptoms improved in about 2 months with an antipsychotic, aripiprazole. Conclusion: To our knowledge, this is the first report of a KS patient who acutely developed a psychotic disorder after COVID-19. Vulnerability to psychotic conditions of KS likely manifests as an acute psychotic episode facilitated by the neurotropic effects of COVID-19.

Indexed as

acute psychosisCOVID‐19Klinefelter syndromelong COVIDschizophrenia

Identifiers

PMID41341487
PMCPMC12669072

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.