Put your knowledge and skills to the test with the case of Mrs. M, a 37 year old woman, who two weeks after an admission to hospital following an overdose where she received treatment for rhabdomyolysis and multi-organ system failure, returns to hospital and is diagnosed with catatonia. During her admission, she develops fever, tachycardia, and increased rigidity and is presumed to have malignant catatonia. She undergoes multiple courses of ECT and clinically improves, but is noted to have persistent word-finding difficulties.
Her medical and psychiatric history includes type 2 diabetes, #bipolar disorder, and opioid, cocaine, and alcohol use disorders. Her medications include gabapentin and paroxetine.
What is your differential diagnosis? What work-up would you order for this patient?
"Malignant catatonia and aphasia follow multiple drug overdose" by Neeta Shenai, Crystal White, Pierre Azzam, Priya Gopalan, and LalithKumar K. Solai (Current Psychiatry).
Her medical and psychiatric history includes type 2 diabetes, #bipolar disorder, and opioid, cocaine, and alcohol use disorders. Her medications include gabapentin and paroxetine.
What is your differential diagnosis? What work-up would you order for this patient?
"Malignant catatonia and aphasia follow multiple drug overdose" by Neeta Shenai, Crystal White, Pierre Azzam, Priya Gopalan, and LalithKumar K. Solai (Current Psychiatry).
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