title: A veteran with acute mental changes years after combat.
abstract: A 49-year-old man presented with a five-week history of worsening confusion, agitation, and bizarre behavior. According to his mother and sister, who live with him, he had inexplicably jumped out of bed one day and complained of injuring his back. The pain apparently resolved within several days. Two weeks later, again just after awakening, he had experienced a period of confusion, lasting about 15 min. The latest episode occurred three days previously and included vivid hallucinations--at various times, he seemed to believe that he was talking to his brother on the telephone, drinking a glass of water, emptying the refrigerator, jumping into a foxhole, and stomping on rattlesnakes. He was disoriented to time as well as environment.
authors.affiliation: Department of Medicine, University of South Florida College of Medicine, Tampa, USA.
authors.forename: K
authors.initials: K
authors.lastname: Leber
authors.forename: A
authors.initials: A
authors.lastname: Malek
authors.forename: A
authors.initials: A
authors.lastname: D'Agostino
authors.forename: H M
authors.initials: HM
authors.lastname: Adelman
mesh_terms: D014150:Antipsychotic Agents / Q000009:adverse effects*; D002746:Chlorpromazine / Q000009:adverse effects*; D003937:Diagnosis, Differential; D006801:Humans; D008094:Lithium / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009127:Muscle Rigidity; D009459:Neuroleptic Malignant Syndrome / Q000175:diagnosis* / Q000209:etiology*; D013313:Stress Disorders, Post-Traumatic; D014728:Veterans
chemical_list: D014150:Antipsychotic Agents; D008094:Lithium; D002746:Chlorpromazine