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Protracted delirium with Sheehan's syndrome

Published online by Cambridge University Press:  24 June 2014

Maximilian Gahr ,
Sigrun Hügl  and
Roland Freudenmann
Maximilian Gahr*
Affiliation:
Department of Psychiatry, University of Ulm, Ulm, Germany
Sigrun Hügl
Affiliation:
Department of Internal Medicine, University of Ulm, Ulm, Germany
Roland Freudenmann
Affiliation:
Department of Psychiatry, University of Ulm, Ulm, Germany
*
Maximilian Gahr, MD, Department of Psychiatry, University of Ulm, Leimgrubenweg 12-14, 89075 Ulm, Germany. Tel: +49 731 500 61552; Fax: +49 731 500 61462; E-mail: maximilian.gahr@uni-ulm.de
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Extract

Objective: Delirium is a common problem, but often misdiagnosed and unidentified. Apart from the manifold clinical picture variable durations can also be an obstacle for its diagnosis.

Methods: We present a case of protracted delirium that has developed after severe somatic illness in association with previously undiagnosed Sheehan's syndrome.

Results: The variety of psychiatric symptoms with initial psychotic disorder and the long run of the disease delayed the diagnosis of delirium and meantime gave reason to assume personality change.

Conclusion: This case report calls attention to the possibility of protracted delirium in patients with neuropsychiatric deficit symptoms that persist subsequent to somatic illness.

Keywords

diagnostic labellingmental disorderpsychiatric diagnosis
Type
Case Report
Information
Acta Neuropsychiatrica , Volume 24 , Issue 3 , June 2012 , pp. 183 - 185
Copyright
Copyright © Cambridge University Press 2011

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References

1.APA. Diagnostic and statistical manual of mental disorders, 4th edn.Washington, DC: American Psychiatric Association, 2000.Google Scholar
2.Bucht, G, Gustafson, Y, Sandberg, O.Epidemiology of delirium. Dement Geriatr Cogn Disord 1999;10:315–318.CrossRefGoogle ScholarPubMed
3.Elie, M, Rousseau, F, Cole, M, Primeau, F, McCusker, J, Bellavance, F.Prevalence and detection of delirium in elderly emergency department patients. CMAJ 2000;163:977–981.Google ScholarPubMed
4.Michaud, L, Büla, C, Berney, A et al. Delirium: guidelines for general hospitals. J Psychosom Res 2007;62:371–383.CrossRefGoogle ScholarPubMed
5.Inouye, S, Bogardus, S, Charpentier, P et al. A multicomponent intervention to prevent delirium in hospitalized older patients. N Engl J Med 1999;106:565–573.Google Scholar
6.Inouye, S.Delirium in older persons. N Engl J Med 2006;354:1157–1165.CrossRefGoogle ScholarPubMed
7.Swigart, S, Kishi, Y, Thurber, S, Kathol, R, Meller, W.Misdiagnosed delirium in patient referrals to a university-based hospital psychiatry department. Psychosomatics 2008; 49:104–108.CrossRefGoogle ScholarPubMed
8.Thomas, R, Cameron, D, Fahs, M.Prospective study of delirium and prolonged hospital stay. Exploratory study. Arch Gen Psychiatry. 1988;45:937–940.CrossRefGoogle ScholarPubMed
9.Hong, S, Cho, D, Kang, H, Chung, D, Chung, M.Acute onset of steroid psychosis with very low dose of prednisolone in Sheehan's syndrome. Endocr J 2006;53:255–258.CrossRefGoogle ScholarPubMed
10.Fann, J.The epidemiology of delirium: a review of studies and methodological issues. Semin Clin Neuropsychiatr 2000;5:64–74.Google ScholarPubMed