Somatic delusion concurrent with AIDS neurosis in a girl with diabetes mellitus

A 15 years-old girl with diabetes mellitus after a major stress expressed that a group of viruses invaded her gastrointestinal tract and a clump adherent damaged these organs (acute stress disorder and then nihilistic delusion). No evidence of HIV infection was found, but she believed that she was carrier for viruses (aids neurosis). She was resistant and sensitive to pharmacotherapy and psychotherapy, but response to Electroconvulsive therapy ECT (six sessions) was favorable. Stress management helped her physicians to control her blood sugar.