Farooq Umar, Dallol Bander
Heart of England Trust, UK.
BMJ Case Rep. 2014 Dec 24;2014:bcr2014205065. doi: 10.1136/bcr-2014-205065.
We present a case of a 90-year-old woman who presented to the acute medical unit with a new onset presentation of confusion. Her abbreviated mental test on admission was 5/10. Biochemical screen including full blood count, urea and electrolytes, C reactive protein and liver function test and imaging such as chest X-ray and CT of the head were normal. The patient had recently been started on steroid eye drops for shingles. Suspension of this medication was followed by a resolution of confusion with the abbreviated mental test on discharge improving to 9/10. To the best of our knowledge, this is the first presentation of a link between steroid eye drops and acute confusion.
我们报告一例90岁女性患者，她因新发意识模糊症状入住急性内科病房。入院时其简易精神状态检查评分为5分（满分10分）。包括全血细胞计数、尿素和电解质、C反应蛋白、肝功能检查在内的生化检查，以及胸部X光和头部CT等影像学检查均正常。该患者近期因带状疱疹开始使用类固醇眼药水。停用此药物后，患者的意识模糊症状得到缓解，出院时简易精神状态检查评分提高至9分（满分10分）。据我们所知，这是首次报道类固醇眼药水与急性意识模糊之间存在关联。
