Catatonia and mania in patient with AIDS: treatment with lorazepam and risperidone.

A 30-year-old woman presented with psychiatric symptoms and was found to be HIV positive prior to admission to the hospital. We present the first case report of catatonia and mania in an HIV-positive subject unrelated to infectious processes. The catatonic symptoms were alleviated by intravenous lorazepam, and manic symptoms were adequately treated with risperidone. Clinicians need to be aware that HIV infection should be considered in all patients with new-onset mania alternating with catatonia or in those with HIV risk factors.