Medicinski vjesnik, Vol. 38 No. (1-4), 2006.
Case report
Early dementia with psychotic onset: case review
Ljiljana Radanović-Grgurić
Davor Laufer
Dubravka Lišnić
Oliver Koić
Pavo Filaković
Abstract
The authors reported the case of 52 years old female patient whose illness started as an acute psychotic episode of unknown etiology and progressed to dementia in several months. The patient manifested the psychotic episode a year before. She was treated as inpatient with haloperidole but the therapeutic response was partial with problems in everyday functioning. Later, the rigor and salivation became more and more obvious. Five months after the treated psychotic episode, she became febrile, with more intensive rigor and disturbances of consciousness. The case of hospitalization was suspected of meningoencephalitis, but it was not confirmed. The diagnosis was urethral infection and pneumonia. Malignant neuroleptic syndrome was also suspected but not confirmed. Radio-diagnostic procedures showed cortical atrophy of brain hemispheres. General condition of the patient became worse and worse. She was febrile, immobile, incontinent, with stirred up consciousness, with no contact. The clinical symptoms corresponded to developed level of dementia. The authors discussed the contribution of constellation factors to negative, inviolable treatment and fatal output of dementia.
Keywords
Dementia; Infect; Malignant neuroleptic syndrome; Psychotic episode
Hrčak ID:
191074
URI
Publication date:
1.12.2006.
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