{
  "abstract": "Background: Delusional water refusal is a rare but clinically significant behavioral manifestation in schizophrenia. Unlike psychogenic polydipsia, reduced water intake is rare and can lead to chronic dehydration and renal impairment. Case Report: A 65-year-old male long-standing patient with schizophrenia and a prolonged inpatient stay, was found to have persistently elevated creatinine levels (86–178 µmol/L) over six years with no clear medical cause. The result of an imaging study showed that the cortex of his left kidney was thin. A fluid intake chart revealed complete avoidance of drinking clear water. Further psychiatric evaluation revealed a fixed religious delusion resulting in his water intake avoidance. Conclusion: This is case report highlights a rare presentation of delusional water avoidance contributing to chronic renal impairment. Routine assessment of hydration behaviors is essential when treating unexplained renal abnormalities in patients with severe mental illness.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "name": "Anas Ibn Auf, M.B.B.S., M.Sc., M.D."
    },
    {
      "name": "Muath Mohammed Alqarni, M.B.B.S."
    },
    {
      "name": "Rami Abdulla Aljuaid, M.B.B.S."
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/d7khkg5222g7b.bib",
  "cited_by": 0,
  "doi": "10.4103/tpsy.tpsy_33_26",
  "fulltext_url": "https://www.ovid.com/jnls/tpsy/fulltext/10.4103/tpsy.tpsy_33_26~a-case-report-of-a-patient-with-delusional-water-refusal",
  "id": "d7khkg5222g7b",
  "issns": [
    "1028-3684",
    "2666-2078"
  ],
  "landing_url": "https://doi.org/10.4103/tpsy.tpsy_33_26",
  "language": "en",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "RC435-571"
    ],
    [
      "openalex",
      "2738|Schizophrenia research and treatment"
    ]
  ],
  "openalex": "W7214160218",
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-07-01",
  "publisher": "Wolters Kluwer Medknow Publications",
  "ris": "https://research.draconitic.com/paper/d7khkg5222g7b.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:43:57Z",
      "native_id": "8c56c72259ad4bd4b96a0253e241755a",
      "source": "doaj",
      "url": "https://doi.org/10.4103/tpsy.tpsy_33_26"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2738|Schizophrenia research and treatment",
      "subfield": "psychiatry"
    }
  ],
  "title": "A Case Report of a Patient with Delusional Water Refusal Leading to Chronic Kidney Injury",
  "title_text": "A Case Report of a Patient with Delusional Water Refusal Leading to Chronic Kidney Injury",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:43:57Z",
  "url": "https://research.draconitic.com/paper/d7khkg5222g7b",
  "venue": "Taiwanese Journal of Psychiatry",
  "versions": []
}