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Type: Outro documento
Title: Diagnosis and implications in the therapeutic management of patient with afebrile neurolepctic malignant syndrome
Author: Gomes, Rafael Quintes Ducasble
Santos-Júnior, Amilton dos
Dias, Gabriel Augusto de Araujo Silva
Cais, Carlos Filinto da Silva
Abstract: This report aims at raising clinical awareness for the diagnosis of atypical presentations of neuroleptic malignant syndrome (NMS). We describe the case of a female patient with NMS symptoms, except fever, after starting the use of chlorpromazine. The afebrile condition delayed the consideration of NMS by the emergency clinicians who provided her initial assessment. Before this consideration, an anticholinergic agent, not recommended at this condition, was inadvertently prescribed. This might have contributed to the worsening of symptoms. NMS is a life-threatening idiosyncratic reaction most often seen as complication of antipsychotic treatment. Its clinical spectrum is broad and its diagnosis should be considered even if the patients do not fulfill all the possible described symptoms.
Subject: Febre
Country: Reino Unido
Editor: Oxford University Press
Rights: Fechado
Identifier DOI: 10.1093/omcr/omw067
Date Issue: 2016
Appears in Collections:FCM - Artigos e Outros Documentos

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