Freedman J B, O'Dowd M A, Wyszynski B, Torres J R, McKegney F P
Department of Psychiatry, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York.
Gen Hosp Psychiatry. 1994 Nov;16(6):426-34. doi: 10.1016/0163-8343(94)90119-8.
A 29-year-old single Puerto Rican woman with AIDS was admitted to the Medical Service for pneumonia, seen by the Psychiatric Consultation Service, an eventually transferred to the Inpatient Psychiatric Unit with several possible psychiatric diagnoses including major depression, HIV dementia, delirium, and posttraumatic stress disorder. These possibly coexisting and interacting syndromes are discussed by three psychiatrists, one of whom is also a board-certified neurologist. This case illustrates the combined contribution of organic and psychological factor to complex behavioral disorders, which are increasingly common in HIV infection.
一名29岁的单身波多黎各裔艾滋病女性因肺炎入住内科，接受了精神科会诊，最终被转至住院精神科病房，可能患有多种精神疾病，包括重度抑郁症、HIV痴呆、谵妄和创伤后应激障碍。三位精神科医生讨论了这些可能并存且相互作用的综合征，其中一位还是获得委员会认证的神经科医生。该病例说明了器质性因素和心理因素对复杂行为障碍的综合影响，这种情况在HIV感染中越来越常见。
