Cryptococcal Meningoencephalitis Presenting as a Psychiatric Emergency.
Background: Organic conditions can often mimic neuropsychiatric disorders, leading to delays in diagnosis and treatment for the most vulnerable populations presenting to the emergency department (ED).Case Report: Here we discuss a case of cryptococcal meningoencephalitis seemingly consistent with ps...
| Publicado en: | Journal of Emergency Medicine (0736-4679) Vol. 57; no. 2; pp. 203 - 207 |
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| Autores principales: | , , , , |
| Formato: | case study Journal Article |
| Publicado: |
Pergamon Press - An Imprint of Elsevier Science
Aug2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138098887&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 138098887 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07364679 4BX jtl: Journal of Emergency Medicine (0736-4679) issn: 07364679 maglogo: N pubinfo: dt: Aug2019 vid: 57 iid: 2 pid: 2410 pub: Pergamon Press - An Imprint of Elsevier Science artinfo: ui: 138098887 138098887 NLM31014972 138098887 10.1016/j.jemermed.2019.03.016 NLM31014972 138098887 ppf: 203 ppct: 4 formats: tig: atl: Cryptococcal Meningoencephalitis Presenting as a Psychiatric Emergency. aug: au: Seelig, Sandra Ryus, Caitlin R. Harrison, Raquel F. Wilson, Michael P. Wong, Ambrose H. affil: Department of Emergency Medicine, Yale-New Haven Hospital, New Haven, Connecticut sug: subj: Meningoencephalitis Drug Therapy Meningitis, Cryptococcal Diagnosis Consciousness Disorders Etiology Intracranial Hypertension Etiology Diuretics Therapeutic Use Meningoencephalitis Diagnosis Cryptococcus Male Middle Age Diagnosis, Differential Mannitol Therapeutic Use Cryptococcus Drug Effects Middle Aged: 45-64 years Male ab: Background: Organic conditions can often mimic neuropsychiatric disorders, leading to delays in diagnosis and treatment for the most vulnerable populations presenting to the emergency department (ED).Case Report: Here we discuss a case of cryptococcal meningoencephalitis seemingly consistent with psychosis on initial evaluation, and present strategies to recognize and treat this condition. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Due to the indolent time course of this disease, initial symptoms of altered mental status and personality changes may be attributed to drug use or psychiatric illness before more overt evidence for increased intracranial pressure and neurologic infection develops. It is important for emergency clinicians to maintain a high level of suspicion for this condition in at-risk patients and reassess them frequently during their ED visit. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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