Case study: delirium in an adolescent girl with human immunodeficiency virus-associated dementia.
Delirium and human immunodeficiency virus (HIV)-associated dementia are well recognized neuropsychiatric consequences of HIV infection in adults. Almost nothing is known regarding the management of delirium in HIV-infected children and adolescents. HIV-related progressive encephalopathy is thought to represent the pediatric form of HIV-associated dementia; however, this condition occurs in HIV-infected infants and preschool children and is rapidly followed by death. This report describes the identification and treatment of apparent HIV-associated dementia complicated by delirium in an adolescent girl.
Scharko
Alexander M
AM
All of the authors were with The Johns Hopkins University School of Medicine, Baltimore, at the time of the study. Drs. Scharko, Kothari, and Khattak were with the Division of Child and Adolescent Psychiatry; Dr. Baker was with the Department of Radiology and Radiological Science; and Dr. Lancaster was with the Department of Pediatrics. Presently, Dr. Scharko is at the Medical College of Wisconsin, Milwaukee; Dr. Baker is at the Diagnostic Radiology Department, Clinical Center, National Institutes of Health, Bethesda, MD; Dr. Kothari is in private practice at Weston Town Center, Weston, FL; and Dr. Lancaster is in private practice at The Pediatric Center, Baltimore.. Electronic address: ascharko@mcw.edu.
Baker
Eva H
EH
All of the authors were with The Johns Hopkins University School of Medicine, Baltimore, at the time of the study. Drs. Scharko, Kothari, and Khattak were with the Division of Child and Adolescent Psychiatry; Dr. Baker was with the Department of Radiology and Radiological Science; and Dr. Lancaster was with the Department of Pediatrics. Presently, Dr. Scharko is at the Medical College of Wisconsin, Milwaukee; Dr. Baker is at the Diagnostic Radiology Department, Clinical Center, National Institutes of Health, Bethesda, MD; Dr. Kothari is in private practice at Weston Town Center, Weston, FL; and Dr. Lancaster is in private practice at The Pediatric Center, Baltimore.
Kothari
Priti
P
All of the authors were with The Johns Hopkins University School of Medicine, Baltimore, at the time of the study. Drs. Scharko, Kothari, and Khattak were with the Division of Child and Adolescent Psychiatry; Dr. Baker was with the Department of Radiology and Radiological Science; and Dr. Lancaster was with the Department of Pediatrics. Presently, Dr. Scharko is at the Medical College of Wisconsin, Milwaukee; Dr. Baker is at the Diagnostic Radiology Department, Clinical Center, National Institutes of Health, Bethesda, MD; Dr. Kothari is in private practice at Weston Town Center, Weston, FL; and Dr. Lancaster is in private practice at The Pediatric Center, Baltimore.
Khattak
Hina
H
All of the authors were with The Johns Hopkins University School of Medicine, Baltimore, at the time of the study. Drs. Scharko, Kothari, and Khattak were with the Division of Child and Adolescent Psychiatry; Dr. Baker was with the Department of Radiology and Radiological Science; and Dr. Lancaster was with the Department of Pediatrics. Presently, Dr. Scharko is at the Medical College of Wisconsin, Milwaukee; Dr. Baker is at the Diagnostic Radiology Department, Clinical Center, National Institutes of Health, Bethesda, MD; Dr. Kothari is in private practice at Weston Town Center, Weston, FL; and Dr. Lancaster is in private practice at The Pediatric Center, Baltimore.
Lancaster
Duniya
D
All of the authors were with The Johns Hopkins University School of Medicine, Baltimore, at the time of the study. Drs. Scharko, Kothari, and Khattak were with the Division of Child and Adolescent Psychiatry; Dr. Baker was with the Department of Radiology and Radiological Science; and Dr. Lancaster was with the Department of Pediatrics. Presently, Dr. Scharko is at the Medical College of Wisconsin, Milwaukee; Dr. Baker is at the Diagnostic Radiology Department, Clinical Center, National Institutes of Health, Bethesda, MD; Dr. Kothari is in private practice at Weston Town Center, Weston, FL; and Dr. Lancaster is in private practice at The Pediatric Center, Baltimore.
D015526:AIDS Dementia Complex / Q000473:pathology / Q000523:psychology*; D000293:Adolescent; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001921:Brain / Q000473:pathology; D015283:Citalopram / Q000627:therapeutic use; D003693:Delirium / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009460:Neurologic Examination; D018967:Risperidone / Q000627:therapeutic use
D014150:Antipsychotic Agents; D015283:Citalopram; D018967:Risperidone