Document Detail


A case of neuroleptic malignant syndrome induced by risperidone in a schizophrenic woman.
MedLine Citation:
PMID:  19442104     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We report a case of neuroleptic malignant syndrome in a woman who assumed risperidone for schizoaffective disorders. CASE SUMMARY: A 45-year-old woman affected by schizoaffective disorders was admitted to Infectious Disease unit of Crotone Hospital because of a diagnosis of a fever of unknown origin. Clinical evaluation documented confusion and dysphoria, whereas chemical blood evaluation revealed acidosis and liver dysfunction. After few days she was transferred to the Operative Unit of Internal Medicine of San Giovanni in Fiore Hospital because of an increase in liver transaminases. Clinical evaluation showed the persistence of fever (38.8 degrees Celsius), with an increase in CPK, and liver enzymes. Pharmacological evaluation indicated a probable relationship between risperidone and NMS and led to a diagnosis of neuroleptic malignant syndrome associated with risperidone in a woman with schizophrenia. About seven days later, we recorded a complete resolution of her psychiatric symptoms. DISCUSSION: We postulate a possible interaction between risperidone and neuroleptic malignant syndrome and we suggest to use risperidone with caution in both young and middle aged people.
Authors:
Luca Gallelli; Vincenzo Spagnuolo; Caterina Palleria; Giovambattista De Sarro; Maria Ferraro
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Current drug safety     Volume:  4     ISSN:  1574-8863     ISO Abbreviation:  -     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-15     Completed Date:  2009-07-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101270895     Medline TA:  Curr Drug Saf     Country:  United Arab Emirates    
Other Details:
Languages:  eng     Pagination:  119-20     Citation Subset:  IM    
Affiliation:
Department of Experimental and Clinical Medicine, Faculty of Medicine and Surgery, University "Magna Graecia" of Catanzaro, Via T. Campanella 115, 88100 Catanzaro, Italy. luca_gallelli@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Antipsychotic Agents / adverse effects*,  therapeutic use
Female
Fever / chemically induced*
Humans
Middle Aged
Neuroleptic Malignant Syndrome / etiology*
Psychotic Disorders / drug therapy
Risperidone / adverse effects*,  therapeutic use
Chemical
Reg. No./Substance:
0/Antipsychotic Agents; 106266-06-2/Risperidone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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