Turczyński J
II Kliniki Chorób Psychicznych Akademii Medycznej, Gdańsku.
Psychiatr Pol. 1993 Sep-Oct;27(5):535-43.
This publication presents a case of 38-year old woman suffering from schizophrenia, whose body temperature reached 41 degrees C after she had taken 1250 mg of levomepromazine during a suicide attempt. Initially, the dominant symptoms were quantitative and qualitative disturbances of consciousness and periodically increased psychomotor activity, negativism, hallucinations, delusions, schizophrenic disturbances of affect became prominent. When the patient was hospitalized on the internal diseases ward, only symptomatic treatment was conducted, while the cause of the patient's high temperature was still investigated. Only when acute lethal catatonia was diagnosed and ECT was used, did the patient recover. In the event of rapid onset of high temperature in a patient with a mental disorder, a possibility of acute lethal catatonia must be always considered. A differential diagnosis of this disorder with neuroleptic malignant syndrome is very important, as the treatment is quite different. Many M.D.s aren't aware that high body temperature may be a symptom of a mental disease.
本出版物介绍了一名38岁患有精神分裂症的女性病例，她在自杀未遂时服用了1250毫克左美丙嗪后体温达到41摄氏度。最初，主要症状是意识的定量和定性障碍以及周期性增加的精神运动性活动、消极态度、幻觉、妄想，精神分裂症的情感障碍变得突出。当患者在内科病房住院时，仅进行了对症治疗，同时仍在调查患者高温的原因。只有在诊断出急性致死性紧张症并使用电休克疗法后，患者才康复。如果精神障碍患者迅速出现高温，必须始终考虑急性致死性紧张症的可能性。将这种疾病与抗精神病药物恶性综合征进行鉴别诊断非常重要，因为治疗方法截然不同。许多医生没有意识到高温可能是精神疾病的一种症状。
