title: Acute psychosis in a 45-year-old man with bipolar disorder and primary Epstein-Barr virus infection: a case report.
abstract: A 45-year-old physician with bipolar disorder presented with an acute organic psychosis, fever, and hematologic and serologic findings of a primary Epstein-Barr virus infection. Pathogenesis was complicated by the history of discontinued lithium therapy prior to the psychosis. The patient recovered completely. Literature concerning psychosis and infectious mononucleosis is reviewed.
mesh_terms: D000208:Acute Disease; D001714:Bipolar Disorder / Q000175:diagnosis* / Q000523:psychology; D003937:Diagnosis, Differential; D006801:Humans; D007244:Infectious Mononucleosis / Q000175:diagnosis* / Q000523:psychology; D008094:Lithium / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D019965:Neurocognitive Disorders / Q000175:diagnosis* / Q000523:psychology; D013375:Substance Withdrawal Syndrome / Q000175:diagnosis
chemical_list: D008094:Lithium