Hernández-Sandí Alejandro, Quirós-Baltodano David, Oconitrillo-Chaves Michelle
Primary Care Physician and Emergency Medical Department, Clínica Integral de Tibás, Coopesain R.L., San José , Costa Rica.
Ment Illn. 2016 Nov 23;8(2):6787. doi: 10.4081/mi.2016.6787.
Delirium, or acute confusional syndrome, is a set of symptoms whose care involves not only psychiatry, but also many other medical specialties. Being as how the syndrome is caused by multiple factors, it is important to recognize each risk factor affecting the patient in order to anticipate and prevent it. In case of diagnosis, identifying and treating the root cause that triggered is important, given that it has a high rate of comorbidity and an elevated cost of medical care. We describe a case where a patient with hypothyroidism began suffering from delirium due to an abrupt discontinuation of levothyroxine treatment. Previously, the patient was seemingly healthy. After the medical treatment was interrupted, sensory processing and behavior were altered, and symptoms fluctuated, for a short period of time, showing disorientation and memory and language impairment.
谵妄，即急性意识模糊综合征，是一组症状，其护理不仅涉及精神病学，还涉及许多其他医学专科。由于该综合征由多种因素引起，识别影响患者的每个风险因素以进行预测和预防非常重要。在诊断时，识别并治疗引发该综合征的根本原因很重要，因为它具有高共病率和高昂的医疗费用。我们描述了一例甲状腺功能减退患者因突然停用左甲状腺素治疗而开始出现谵妄的病例。此前，该患者看似健康。在治疗中断后，感觉处理和行为发生改变，症状在短时间内波动，表现为定向障碍、记忆和语言受损。
