Muscle rigidity, sensory disorder and antipsychotics: A case report
DOI:
https://doi.org/10.24265/horizmed.2019.v19n3.11Keywords:
Neuroleptic malignant syndrome, Antipsychotic agents, Muscle rigidity, RhabdomyolysisAbstract
In emergency rooms with large numbers of assigned population, we often see isolated conditions, such as severe dehydration, hypernatremia or hyponatremia, acute kidney injury, sensory disorder, among others. However, many of these conditions are part of a single disease and, if they are not gathered together as a medical unit at the right time, morbidity and mortality may drastically increase, especially in the event of diseases with a very rare or unusual frequency. Such is the case of the following disorder, which could worsen the critical condition of the patient if it is not detected on time or not treated appropriately. This clinical case addresses a 74-year-old female patient who reports a history of psychotic disorder with irregular treatment and, after the intake of carbamazepine and risperidone, presents the typical and infrequent symptoms of neuroleptic malignant syndrome (NMS).
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León-Caballero J, Alba-Pale L, Salgado-Serrano P, Pérez-Solá V. Neuroleptic malignant syndrome with slight elevation of creatine kinase in serum: a brief review. Acta Esp Psiquiatr. 2015 Sep; 43(5): 194-6.
Gagnier JJ, Kienle G, Altman DG, Moher D, Sox H, Riley D, et al. The CARE Guidelines: Consensus-based Clinical Case Reporting Guideline Development. Glob Adv Health Med. 2013 Sep; 2(5): 38-43.
Fernández M, Lago L, Alonso MG, Guede A, Benavente JL, Olivares JM. Serotonin syndrome versus neuroleptic malignant syndrome: a case report. Acta Esp Psiquiatr. 2018 Mar; 46(2): 68-74.
González Muñoz A, Pérez Sánchez JR, Contreras Chicote A. Diagnóstico diferencial etiopatogénico de la demencia: otras demencias. Medicine - Programa de Formación Médica Continuada Acreditado. 2015 Feb; 11(72): 4345-9.
Ninčević Ž, Lasić D, Glavina T, Mikačić M, Carev M, Podrug K. Quetiapine poisoning associated with neuroleptic malignant syndrome, rhabdomyolysis and renal failure: a case report. Psychiatr Danub. 2017 Mar; 29(1): 84-6.
Singer B, Reynolds JC, Lockey DJ, O’Brien B. Pre-hospital extra-corporeal cardiopulmonary resuscitation. Scand J Trauma Resusc Emerg Med. 2018; 26(1): 21.
Wachtel L, Commins E, Park M, Rolider N, Stephens R, Reti I. Neuroleptic malignant syndrome and delirious mania as malignant catatonia in autism: prompt relief with electroconvulsive therapy. Acta Psychiatr Scand. 2015 Oct; 132(4): 319-20.
Loeb E, Madigand J, Alexandre J, Dollfus S, Coquerel A, Fedrizzi S. Neuroleptic malignant syndrome and catatonia overlapping: 2 case reports. Psychopharmacology (Berl). 2015 Jul; 232(14): 2643-4.
Lang FU, Lang S, Becker T, Jäger M. Neuroleptic malignant syndrome or catatonia? Trying to solve the catatonic dilemma. Psychopharmacology (Berl). 2015 Ene; 232(1): 1-5.
Vera R, Denis A, Recalde A, Paats A, Esteche A. Neuroleptic malignant-like síndrome. Rev Virtual Soc Parag Med Int. 2017 Sep; 4(2): 49-53.
Vázquez Estévez R, Morillo Blanco ML, Molina Castillo JJ, Rubio Merino MI, Arenas García JA. Síndrome neuroléptico maligno: dificultades en el diagnóstico diferencial. Ver Psiquiatr Salud Ment. 2016 Sep; 23(3): 122-4.
Remuñán Boue C, Rondón J, Davas Santana R, Vázquez Vázquez L. Sindrome neuroléptico maligno. Rev Cub Med Int Emerg. 2004; 3(1): 46-51
Chackupurakal R, Wild U, Kamm M, Wappler F, Reske D, Sakka SG. Neuroleptic malignant syndrome: rare cause of fever of unknown origin. Anaesthesist. 2015 Jul; 64(7): 527-31.
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