Inflammatory response to clozapine in the absence of myocarditis: case report

Autor: Patrick Davey, Siobhan Gee, Sukhi S. Shergill
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: BJPsych Open, Vol 2, Pp 244-246 (2016)
Druh dokumentu: article
ISSN: 2056-4724
DOI: 10.1192/bjpo.bp.116.003228
Popis: A case is presented of a 25-year-old man with treatment-resistant paranoid schizophrenia whose only previous trial of clozapine had been stopped following a suspected clozapine-induced myocarditis. Due to the failure of his psychosis to respond to a number of antipsychotic treatments and augmentation strategies, clozapine was restarted on admission. His rechallenge was marked by intermittent pyrexia, tachycardia and elevated C-reactive protein (CRP), but eosinophilia was absent. Clozapine was started and then stopped twice following extensive investigation and with specialist cardiology consultation. Physical symptoms and CRP elevation resolved shortly after clozapine cessation. We believe this constituted an idiosyncratic systemic inflammatory response to clozapine treatment.
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