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TITLE:

DELIRIOUS MANIA: REMINISCENCE OF KRAEPELIN'S TRICHOTOMY OF MANIC-DEPRESSIVE ILLNESS

AUTHORS:

Rizwan Amin, Naziya Hassan, Beenish Safdar, Mariam Baig, Anum Maqsood

ABSTRACT:

A 54 years old male presented to our psychiatric service with pressured speech, grandiose delusions, irritability, aggression, decreased sleep, and disorganized behavior. Based on initial psychiatric evaluation, a diagnosis of bipolar disorder, current episode manic, severe with psychotic features was made and treatment with oral Carbamazepine 100 mg thrice daily and Risperidone 3 mg twice daily was started. On day 2 of his hospitalization, he developed altered mental status with worsening disorientation and memory impairment. Workup of delirium, including magnetic resonance imaging (MRI), was done which was unremarkable. As a result, a diagnosis of delirious mania was made. Although delirious mania is yet to gain a formal diagnostic classification, successful detection of delirious mania is important as it carries higher inpatient mortality rate. This case highlights delirium as a presentation of bipolar mania treated with pharmacotherapy.

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