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Delirium and fever - a rare but dangerous cause Case report : Óráð og hiti – sjaldgæf en hættuleg orsök. Sjúkratilfelli

Delirium and fever - a rare but dangerous cause Case report : Óráð og hiti – sjaldgæf en hættuleg orsök. Sjúkratilfelli


Title: Delirium and fever - a rare but dangerous cause Case report : Óráð og hiti – sjaldgæf en hættuleg orsök. Sjúkratilfelli
Alternative Title: Delirium and fever - a rare but dangerous cause - Case report
Author: Jóhannesson, Jón Magnús
Harðardóttir, Hrönn
Guðmundsson, Bjarni
Guðmundsson, Gunnar
Date: 2021-07-01
Language: Icelandic
Scope: 5
Department: Læknadeild
Lyflækninga- og bráðaþjónusta
Series: Laeknabladid; 107(7-8)
ISSN: 0023-7213
DOI: https://doi.org/10.17992/lbl.2021.0708.646
Subject: Sótthiti; Óráð; Aukaverkanir lyfja; Delirium; Drug-related adverse event; Fever; Neuroleptic malignant syndrome; Delirium/diagnosis; Diagnosis, Differential; Emergency Service, Hospital; Fever/diagnosis; Humans; Male; Middle Aged; Læknisfræði (allt)
URI: https://hdl.handle.net/20.500.11815/2927

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Citation:

Jóhannesson , J M , Harðardóttir , H , Guðmundsson , B & Guðmundsson , G 2021 , ' Delirium and fever - a rare but dangerous cause Case report : Óráð og hiti – sjaldgæf en hættuleg orsök. Sjúkratilfelli ' , Laeknabladid , bind. 107 , nr. 7-8 , bls. 345-349 . https://doi.org/10.17992/lbl.2021.0708.646

Abstract:

Fever complicated by delirium is a common problem in emergency departments and inpatient wards. There are various possible causes that must all be contemplated. Infections are prominent causes due to acuteness and severity, but when generating a differential diagnosis, other causes may be life-threatening and require swift diagnosis and management. We present here a case of a 58 year old man presenting at the emergency department with fever and delirium. After comprehensive history-taking and examination, alongside targeted testing, the correct diagnosis was ascertained, leading to appropriate treatment.

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