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Cotard’s syndrome in a patient with schizophrenia-spectrum disorder
  1. Garett Wayne Malone1,
  2. Juliana Fort2 and
  3. Hamza Mohammad-Amin2
  1. 1School of Medicine, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana, USA
  2. 2Department of Psychiatry and Behavioral Medicine, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana, USA
  1. Correspondence to Garett Wayne Malone; gwm002{at}


Cotard’s delusion is a delusion where one believes they are dead or deny aspects of their existence. Cotard’s syndrome includes expansive variation in presentations as well as inciting factors. Cotard’s syndrome is relatively rare and may include nihilistic delusions that one is missing organs, cannot die or that one does not truly exist. Cotard’s syndrome is often associated with other mental illnesses such as depression and schizophrenia but has not been widely associated with methamphetamine use. The following is a report of a patient with no previous signs of mental illness developing a schizophrenia-spectrum disorder with Cotard’s delusion after years of using methamphetamine.

  • Psychotic disorders (incl schizophrenia)
  • Psychiatry

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  • Contributors GWM performed the writing of this manuscript with guidance from JF and HMA in reviewing, editing and publishing. Consent for publication was obtained by JF.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.