J ECT. 2012 Mar;28(1):70-1. doi: 10.1097/YCT.0b013e31823dfeb0.
This report describes the electroconvulsive therapy (ECT) course of a 15-year-old male with severe bipolar disorder unresponsive to medical management. After his first treatment, the patient exhibited fever, elevated creatine phosphokinase levels, and leukocytosis. Treatment was halted although the patient reported an improvement in symptoms, which was not maintained with pharmacotherapy alone. Subsequent treatments were completed without adverse reactions, and the patient entered remission. We discuss the possible causes of this reaction and remind the reader that a single adverse event does not always require the abandonment of a treatment modality.
本报告描述了一位 15 岁男性严重双相情感障碍患者的电抽搐治疗 (ECT) 过程，该患者对药物治疗无反应。第一次治疗后，患者出现发热、肌酸磷酸激酶水平升高和白细胞增多。尽管患者报告症状有所改善，但治疗仍被停止，且仅用药物治疗无法维持缓解。随后的治疗没有不良反应，患者进入缓解期。我们讨论了这种反应的可能原因，并提醒读者，单次不良反应并不总是需要放弃一种治疗方式。
