title: Paranoid delusions and auditory hallucinations associated with digoxin intoxication.
abstract: The 83-year-old woman in this case report developed paranoid delusions and auditory hallucinations in association with toxic serum levels of digoxin, while remaining alert, unagitated, and coherent in thinking. No cardiovascular or metabolic abnormalities were discovered to account for her psychiatric symptoms. Her mental status rapidly returned to normal as serum digoxin declined to therapeutic levels.
mesh_terms: D000368:Aged; D001307:Auditory Perception / Q000187:drug effects*; D003327:Coronary Disease / Q000188:drug therapy; D003702:Delusions / Q000139:chemically induced*; D004077:Digoxin / Q000097:blood / Q000506:poisoning* / Q000627:therapeutic use; D005260:Female; D006212:Hallucinations / Q000139:chemically induced*; D006801:Humans; D010259:Paranoid Disorders / Q000139:chemically induced*; D013375:Substance Withdrawal Syndrome / Q000523:psychology
chemical_list: D004077:Digoxin