TY - JOUR
T1 - Neuroleptic Malignant Syndrome
T2 - A Case Aimed at Raising Clinical Awareness
AU - Al Danaf, Jad
AU - Madara, John
AU - Dietsche, Caitlin
N1 - Publisher Copyright:
© 2015 Jad Al Danaf et al.
PY - 2015
Y1 - 2015
N2 - A 60-year-old man with a history of bipolar disorder on risperidone, bupropion, and escitalopram was admitted for community acquired streptococcal pneumonia. Four days later, he developed persistent hyperthermia, dysautonomia, rigidity, hyporeflexia, and marked elevation of serum creatine phosphokinase. He was diagnosed with neuroleptic malignant syndrome (NMS) and improved with dantrolene, bromocriptine, and supportive therapy. This case emphasizes the importance of considering a broad differential diagnosis for fever in the ICU, carefully reviewing the medication list for all patients, and considering NMS in patients with fever and rigidity.
AB - A 60-year-old man with a history of bipolar disorder on risperidone, bupropion, and escitalopram was admitted for community acquired streptococcal pneumonia. Four days later, he developed persistent hyperthermia, dysautonomia, rigidity, hyporeflexia, and marked elevation of serum creatine phosphokinase. He was diagnosed with neuroleptic malignant syndrome (NMS) and improved with dantrolene, bromocriptine, and supportive therapy. This case emphasizes the importance of considering a broad differential diagnosis for fever in the ICU, carefully reviewing the medication list for all patients, and considering NMS in patients with fever and rigidity.
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U2 - 10.1155/2015/769576
DO - 10.1155/2015/769576
M3 - Article
AN - SCOPUS:85010387291
SN - 1687-9627
VL - 2015
JO - Case Reports in Medicine
JF - Case Reports in Medicine
M1 - 769576
ER -