Ghahramani M, Gooriah V
Trenton Forensic Psychiatric Hospital, NJ 08628, USA.
Bull Am Acad Psychiatry Law. 1995;23(4):613-6.
A 28-year-old, ambitious, academically successful Asian man with a zeal for hard work develops infectious mononucleosis and its resultant lethargy and fatigue. He becomes depressed, then develops symptoms of mania before turning floridly psychotic. In his psychotic state he develops grandiose delusions about being the second son of God after Christ and takes it upon himself to rid the world of all evil by defeating the anti-Christ. He kills four people and seriously injures a fifth. He is arrested and found not guilty by reason of insanity. He remains a diagnostic puzzle for a long time before starting to respond to neuroleptic medication.
一名28岁、有抱负、学业有成且热衷于努力工作的亚洲男子患上了传染性单核细胞增多症，随之而来的是无精打采和疲劳。他变得抑郁，随后出现躁狂症状，之后发展为明显的精神病状态。在精神病状态下，他产生了妄想，认为自己是继基督之后上帝的第二个儿子，并主动承担起通过击败反基督者来清除世界上所有邪恶的使命。他杀死了四个人，并严重打伤了第五个人。他被捕后因精神错乱被判无罪。在开始对抗精神病药物产生反应之前，他在很长一段时间里一直是个诊断难题。
