| A case of resolution of an acute psychotic episode after high fever. | |
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MedLine Citation:
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PMID: 17545955 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Fever (pyretotherapy) was used for psychosis during the turn of the 19th century, but pyretotherapy (ie, the treatment of a disorder by inducing fever) fell out of use after the introduction of convulsive methods. Here, we report on a case of schizoaffective disorder and review classical and recent literature on fever and psychosis. The patient developed auditory hallucinations, persecutory delusional ideas, and was terrified soon upon his arrival in a foreign country. After being treated for 12 days with olanzapine and haloperidol, he developed a fever due to urinary infection; his creatine phosphokinase levels were high, prompting the suspension of antipsychotics. Psychotic symptom resolution followed immediately fever abatement. Antipsychotics were reintroduced at lower dosages. He was discharged asymptomatic with a prescription of olanzapine 15 mg/day and haloperidol 3 mg/day. The time course of symptom resolution in this patient suggests that fever had a beneficial role in this case. The associations between body temperature changes and psychotic symptoms need to be further studied. |
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Authors:
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Gabriele Sani; Giovanni Manfredi; Isabella Pacchiarotti; Saverio Simone Caltagirone; Iginia Mancinelli; Alexia E Koukopoulos; Caterina Tatarelli; Giorgio D Kotzalidis; Roberto Tatarelli; Paolo Girardi |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: CNS spectrums Volume: 12 ISSN: 1092-8529 ISO Abbreviation: CNS Spectr Publication Date: 2007 Jun |
Date Detail:
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Created Date: 2007-06-04 Completed Date: 2007-07-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9702877 Medline TA: CNS Spectr Country: United States |
Other Details:
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Languages: eng Pagination: 447-50 Citation Subset: IM |
Affiliation:
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Medical School II, Department of Psychiatry, Sapienza University, Sant'Andrea Hospital, Via di Grottarossa 1035-1039, 00189 Rome, Italy. gabriele.sani@justmail.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Fever / psychology* Humans Hyperthermia, Induced Male Psychotic Disorders / psychology* Staphylococcal Infections / psychology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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