[A case of malignant syndrome triggered by the use of haloperidol and chrorpromazine].
Malignant syndrome is a disease characterized by high fever, extrapyramidal syndrome and dysautonomia recognized during or at the time of stopping administration of antipsychotic medication and it is the most severe and lethal side effect of antipsychotic medication. In the present case, triggered by the use of haloperidol and chrorpromazine, lisp of the tongue, trembling of both hands, perspiration on the hands and legs and other symptoms appeared. Later, difficulty of breathing, trembling of whole body and massive perspiration appeared, and disturbance of autonomic nervous system such as mydriasis and perspiration occurred. By blood analysis, CPK showed a high value of 518 U.l-1 and malignant syndrome was suspected. After i.v. administration of dantololene 20 mg, the perspiration was and the trembling were reduced. With this improvement of symptoms the patient was released from the hospital after about one month. These care suggests that a fundamental knowledge of antipsychotic agents must be acquired and attentive care be given when such drugs are administered.
Konishi
K
K
Department of Anesthesiology & Resuscitology, Asahikawa Medical College.
Fujimoto
K
K
Kubota
M
M
Ogawa
H
H
D000328:Adult; D014150:Antipsychotic Agents / Q000009:adverse effects*; D001007:Anxiety / Q000188:drug therapy; D001342:Autonomic Nervous System Diseases / Q000139:chemically induced* / Q000188:drug therapy; D001480:Basal Ganglia Diseases / Q000139:chemically induced* / Q000188:drug therapy; D002746:Chlorpromazine / Q000009:adverse effects*; D003620:Dantrolene / Q000008:administration & dosage; D006220:Haloperidol / Q000009:adverse effects*; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D008305:Malignant Hyperthermia / Q000188:drug therapy; D010149:Postoperative Pain / Q000188:drug therapy; D013577:Syndrome
D014150:Antipsychotic Agents; D003620:Dantrolene; D006220:Haloperidol; D002746:Chlorpromazine