Reactions 1704, p29 - 2 Jun 2018 Serotonin syndrome: case report A female patient [age not stated] developed serotonin syndrome following treatment with amitriptyline. In 2008, the female patient was taken to the emergency room in the presence of police following the administration of amitriptyline in high doses [dosage, route and indication not stated]. Subsequently, she was hospitalised. The current hospitalisation was her fourth hospital admission. She was first hospitalised in 2004 following a suicide attempt with unspecified antidepressant drugs. During her subsequent hospitalisations, she was treated for depression. At the time of her current admission, she appeared anxious, agitated, tense, disoriented in time, fearful and had tremor, incoherent speech and hyper-reflexia. Initially, both medication-induced delirium and serotonin syndrome were considered. Later, her underlying condition was diagnosed as bipolar affective disorder, and it was considered that the symptoms of serotonin syndrome interfered with the diagnosis of bipolar affective disorder [duration of treatment to reaction onset and outcome not stated]. Author comment: "Serotonin syndrome is an iatrogenic disorder. . .This case report is presented to show how the serotonin syndrome symptoms interfere with the signs and symptoms of other psychiatric disorders". Milovac Z, et al. Diagnostic dilemma - Serotonin syndrome or medication induced delirium: Case report. [Serbian]. Socijalna Psihijatrija 38: 80-84, No. 1, Mar 2010. Available from: URL: http://psihijatrija.hr/soc_psih_sazetak_v38_1_201003.htm [Serbian; summarised from an English abstract] - Croatia 803323019 0114-9954/18/1704-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved Reactions 2 Jun 2018 No. 1704
Reactions Weekly – Springer Journals
Published: Jun 2, 2018
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