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Pulmonary and Critical Care Pearls |

Fever, Consciousness Disturbance, and Muscle Rigidity in a 68-Year-Old Man With Depressive Disorder*

Hsing-Chen Tsai; Ping-Hung Kuo; Pan-Chyr Yang
Author and Funding Information

*From the Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.

Correspondence to: Ping-Hung Kuo, MD, Department of Internal Medicine, National Taiwan University Hospital, No. 7 Chung-Shan South Rd, Taipei, Taiwan, ROC; e-mail: kph@ntumc.org



Chest. 2003;124(4):1598-1601. doi:10.1378/chest.124.4.1598
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A 68-year-old man presented to the emergency department of our hospital because of high fever, tachycardia, consciousness disturbance, and generalized muscle rigidity. According to his caregiver’s statement, he was found groaning and shivering on the bed with rapid and shallow respirations before he was sent to the hospital.

The patient had a depressive disorder and had been followed up regularly at a local psychiatric center for 6 years. Moreover, he had chronic hepatitis B and had received a diagnosis of pneumoconiosis. Ten days before this hospital admission, he was brought to the psychiatric clinic of our hospital because of deteriorating depressed mood. Venlafaxine, amantadine, clonazepam, and zopiclone were prescribed, and he had good compliance to these drugs. The patient had also received an influenza vaccination 8 h prior to this emergency visit.

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