# Cotard’s Syndrome in a Patient With Paranoid Schizophrenia: A Case Report of a Type I Presentation

## TL;DR

A rare case of Cotard's syndrome in a non-depressed person with paranoid schizophrenia was successfully treated with medication.

## Contribution

Highlights a non-typical presentation of Cotard's syndrome in a schizophrenia patient without depression.

## Key findings

- The patient exhibited nihilistic delusions without depressive symptoms.
- Treatment with haloperidol, diazepam, and levomepromazine was effective.
- Early identification of Cotard's syndrome can improve outcomes in schizophrenia patients.

## Abstract

This report presents a rare case of Cotard's syndrome in a middle-aged woman with paranoid schizophrenia. The patient developed symptoms characterized by Cotard's syndrome in the psychiatric ward after several days of treatment. Our patient's presentation was not typical: she had a nihilistic delusion but lacked depressive symptoms. The patient was successfully treated with haloperidol, diazepam, and levomepromazine.

This case demonstrates the importance of identifying Cotard’s condition in non-depressed, schizophrenic individuals, as prompt management can improve outcomes.