[St. John's Wort, corticosteroids, cocaine, alcohol ... and a first manic episode].
We describe an alcohol and cocaine abusing female patient who developed a first manic episode in the context of a corticosteroid prescription. The differential diagnoses are discussed on the basis of the available literature on secondary manias.
Département Universitaire de Psychiatrie Adulte, Prilly-Lausanne. Michael.Saraga@inst.hospvd.ch
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D008949:Adenoma, Pleomorphic / Q000601:surgery; D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects*; D001714:Bipolar Disorder / Q000139:chemically induced* / Q000175:diagnosis; D003042:Cocaine / Q000633:toxicity*; D003937:Diagnosis, Differential; D004347:Drug Interactions; D005158:Facial Paralysis / Q000188:drug therapy; D005260:Female; D006801:Humans; D020902:Hypericum / Q000633:toxicity*; D010307:Parotid Neoplasms / Q000601:surgery; D011183:Postoperative Complications / Q000139:chemically induced / Q000175:diagnosis / Q000188:drug therapy; D011241:Prednisone / Q000627:therapeutic use / Q000633:toxicity*
D003042:Cocaine; D011241:Prednisone