Secondary mania due to AIDS and cryptococcal meningitis in a 78-year-old patient.
We report a 78-year-old man without past psychiatric history who experienced his first manic episode successfully treated with quetiapine and lorazepam, but was ultimately found to have AIDS and Cryptococcus neoformans meningitis. Our presented case highlights the importance of comprehensive differential diagnoses to rule out secondary causes of psychiatric symptoms presenting for the first time in elderly patients.
Department of Psychiatry, Taichung Veterans General Hospital, Taichung, Taiwan.
Po-Han
PH
Chou
Department of Psychiatry, Changhua Christian Hospital, Changhua, Taiwan.|Section of Psychiatry, Lutung Christian Hospital, Changhua, Taiwan.|Department of Psychiatry, Kaohsiung Chung-Ho Memorial Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.|College of Medicine and Life Science, Chung Hwa University of Medical Technology, Tainan, Taiwan.
Wen-Chen
WC
Ouyang
Department of Psychiatry, Taichung Veterans General Hospital, Taichung, Taiwan.
Tsuo-Hung
TH
Lan
Department of Psychiatry, Taichung Veterans General Hospital, Taichung, Taiwan.
Chin-Hong
CH
Chan
D017088:AIDS-Related Opportunistic Infections / Q000150:complications* / Q000382:microbiology; D000368:Aged; D014150:Antipsychotic Agents / Q000627:therapeutic use*; D001714:Bipolar Disorder / Q000188:drug therapy* / Q000209:etiology*; D003455:Cryptococcus neoformans / Q000302:isolation & purification; D003937:Diagnosis, Differential; D006801:Humans; D008140:Lorazepam / Q000627:therapeutic use*; D008297:Male; D016919:Meningitis, Cryptococcal / Q000150:complications* / Q000382:microbiology; D000069348:Quetiapine Fumarate / Q000627:therapeutic use*; D016896:Treatment Outcome
D014150:Antipsychotic Agents; D000069348:Quetiapine Fumarate; D008140:Lorazepam
Cryptococcus neoformans meningitis (CNM); acquired immunodeficiency syndrome (AIDS); secondary mania