General hospital psychiatry · 2006
Three patients with hemophagocytic syndrome who developed acute organic brain syndrome.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Shinno Hideto, Hikasa Satoshi, Matsuoka Tatsuo, Fujita Hidekazu, Yamamoto Osamu, Takebayashi Minoru, Uchida Youzou, Nishiura Tetsuo, Horiguchi Jun
Аннотация
INTRODUCTION: We describe three patients with hemophagocytic syndrome (HPS) who developed acute organic brain syndrome. All three presented with high-grade fever and twilight state, and were admitted to our hospital. After admission, delirium developed in all three. As delirium improved, various other psychiatric symptoms, including hallucinations, agitation, hypoactivity, affective lability and insomnia, were noted.
DISCUSSION: When treated with steroid hormones, immunoglobulin and neuroleptics, all patients demonstrated improvement in their psychiatric symptoms, as well as in their general condition and laboratory findings. Ultimately, they all recovered and were discharged.
CONCLUSION: It needs to be noted that organic brain syndrome might be observed at the onset of HPS. Consequently, early diagnosis and treatment for psychiatric symptoms, as well as for HPS, are crucial.
DISCUSSION: When treated with steroid hormones, immunoglobulin and neuroleptics, all patients demonstrated improvement in their psychiatric symptoms, as well as in their general condition and laboratory findings. Ultimately, they all recovered and were discharged.
CONCLUSION: It needs to be noted that organic brain syndrome might be observed at the onset of HPS. Consequently, early diagnosis and treatment for psychiatric symptoms, as well as for HPS, are crucial.
Предметные рубрики MeSH
Acute DiseaseAgedAnti-Inflammatory AgentsAntipsychotic AgentsBone MarrowBrainDeliriumDiagnosis, DifferentialDominance, CerebralElectroencephalographyFemaleHaloperidolHumansInfusions, IntravenousLymphohistiocytosis, HemophagocyticMagnetic Resonance ImagingMaleMethylprednisoloneNeurocognitive Disorders