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Case Reports: Reminder of important clinical lesson
Interesting presentation of postnatal depression and infant failure to thrive
  1. Nevani Murgan and
  2. Beate Harrison
  1. Mother Baby Unit, King Edward Memorial Hospital for Women, Perth, Western Australia, Australia
  1. Correspondence to Dr Nevani Murgan; nevanimurgan25{at}gmail.com

Abstract

This case report is of a woman in her 30s, 10 months post partum who was referred to Mother Baby Unit at a tertiary hospital with depressive symptoms including lowered mood, reduced self-care and motivation despite initiation of escitalopram 3 months earlier. In addition, her infant had non-organic failure to thrive mediated by decreased feeding and non-initiation of solids. On admission, her cognitive difficulties, blurred vision and reported loss of smell led to further neurological assessment and investigation with an MRI. Diagnosis of a frontal meningioma was made on the basis of the MRI finding of a 7 cm meningioma in the anterior cranial fossa. Surgical removal was successful which led to resolution of her depressive symptoms and improved parenting functioning. This case highlights the importance of considering organic causes of depression and non-organic causes of failure to thrive in infants.

  • Obstetrics, gynaecology and fertility
  • Psychiatry (drugs and medicines)

https://doi.org/10.1136/bcr-2022-249205

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    Footnotes

    • Contributors Both authors had contributed to the final version of the manuscript. NM was supervised by her consultant, BH on the case report.

    • 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.