Case Conference 11.02.2018

This was a case of a 32 year old male brought to the ED by his mother for “not acting right.” He had a history of HTN, Crohn’s disease, bipolar disorder type 1 and his  meds included infliximab, sertraline, trazodone, paliperidone at baseline. About 2 weeks prior to presentation he went to acute care for new back pain and was prescribed PRN tramadol. On exam he was noted to have increased muscle tone in his extremities but no clonus, he was oriented to person only. His CK was elevated to 18192. He was eventually diagnosed with NMS and treated with IV fluids, lorazepam and bromocriptine. At discharge he was changed from paliperidone to risperidone.


Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s