一名78岁患者因艾滋病和隐球菌性脑膜炎引发的继发性躁狂症。
Secondary mania due to AIDS and cryptococcal meningitis in a 78-year-old patient.
作者信息
Chou Po-Han, Ouyang Wen-Chen, Lan Tsuo-Hung, Chan Chin-Hong
机构信息
Department of Psychiatry, Taichung Veterans General Hospital, Taichung, Taiwan.
Department of Psychiatry, Changhua Christian Hospital, Changhua, Taiwan.
出版信息
Psychogeriatrics. 2016 Mar;16(2):135-8. doi: 10.1111/psyg.12127. Epub 2015 Apr 27.
We report a 78-year-old man without past psychiatric history who experienced his first manic episode successfully treated with quetiapine and lorazepam, but was ultimately found to have AIDS and Cryptococcus neoformans meningitis. Our presented case highlights the importance of comprehensive differential diagnoses to rule out secondary causes of psychiatric symptoms presenting for the first time in elderly patients.
我们报告了一名78岁男性，既往无精神病史，首次出现躁狂发作，经喹硫平和劳拉西泮成功治疗，但最终被诊断为艾滋病和新型隐球菌脑膜炎。我们所呈现的病例强调了全面鉴别诊断对于排除老年患者首次出现的精神症状的继发原因的重要性。
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