Schizophreniform disorder after heat injury in a military recruit

Autor: Amy A. Canuso, Robert N. McLay, Jason H. Bennett, Jeffrey M. Pyne, Kristine B. Munoz, Karis A. Stenback
Rok vydání: 2008
Předmět:
Zdroj: Psychosomatics. 49(4)
ISSN: 0033-3182
Popis: The patient is a single, white man with no personal or family history of psychosis. He had an unremarkable developmental history and, other than a childhood diagnosis of attention-deficit hyperactivity disorder, which resolved, no previous contacts with mental health professionals. He was in good physical condition, and there was no history of drug or alcohol abuse. At the age of 18, the patient enrolled in the U.S. Marine Corps and was considered to be an outstanding recruit. Forty-five days into training, he suffered a heat injury during a training hike on a warm day. The patient’s temperature in the field was recorded as 104 F. He was flown via helicopter to the nearest emergency room, where he was hydrated, intubated, and given a head CT scan, which showed no acute intracranial process. The patient was hospitalized for 4 days, at which point he was considered to be recovered. Approximately 4 days after returning to military training, the patient had mental-status changes. He endorsed the delusion that he was personally responsible for the unsatisfactory performances of other recruits. He expressed paranoia about his doctors and the media, whom he believed were communicating with him through the TV and newspaper. He endorsed visual hallucination of the floor moving in waves, and command auditory hallucinations. He was admitted to inpatient psychiatric care and started on 1 mg of risperidone. An MRI scan of the brain and neurological assessment were found to be unremarkable. Symptoms improved but did not resolve during hospitalization. When symptoms persisted beyond 1 month, the patient was diagnosed with schizophreniform disorder.
Databáze: OpenAIRE
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