D. VENUGOPAL, Department of Psychiatry, Kasturba Medical College, Manipal - 576119.
Indian J Psychiatry. 2001 Jul;43(3):242-5.
Mania in HIV infected individuals is an uncommon clinical presentation. It can, however, complicate any stage of the HIV infection. We herewith report a set of three case reports of patients with HIV infection who developed manic episodes. The cases highlight some aspects of the plausible relationship between HIV infection and mania. HIV infection could be revealed by manic episode, it could itself also be associated with increased cycling in bipolar patients. Mania could be secondary to HIV or zidovudine therapy (though the etiological role of the latter is as yet unclear). Mania could also occur as a reaction to awareness to having HIV infection. These relationships are important for both the physician and the psychiatrist as they have important therapeutic and prognostic implications.
HIV 感染者的躁狂是一种不常见的临床表现。然而，它可能会使 HIV 感染的任何阶段复杂化。我们在此报告了三例 HIV 感染患者发生躁狂发作的病例报告。这些病例突出了 HIV 感染和躁狂之间可能存在的一些关系。躁狂发作可能会揭示 HIV 感染的存在，也可能与双相情感障碍患者的循环增加有关。躁狂可能继发于 HIV 或齐多夫定治疗（尽管后者的病因作用尚不清楚）。躁狂也可能是对意识到 HIV 感染的反应。这些关系对医生和精神科医生都很重要，因为它们具有重要的治疗和预后意义。
