A consultation was requested for a 25-year-old Caucasian man on the medical service. He was brought to the hospital by the police after he barricaded himself in a motel room, not allowing the housekeeping personnel to come in for days. The patient was found to be agitated and mute. In the emergency department, he was found to have a fever of 40°C, an elevated creatine phosphokinase (CPK), and increased serum osmolality. He was admitted to the general medical floor, and intravenous fluids were given.
KeywordsPsychotic Symptom Neuroleptic Malignant Syndrome Schizoaffective Disorder Borderline Personality Disorder Haloperidol Decanoate
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- American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Washington, DC, American Psychiatric Association, 1994.Google Scholar