| 英文摘要 |
A 34-year-old male patient was admitted to acute psychiatric ward under the impression as R/O manic episode with psychotic feature. Unexpectedly, acute delirium was developed days after admission. He was diagnosed with acute hepatic failure (amonia up to 257 g/dL, ASL: 122 U/L) and rhabdomyolysis (CPK up to 47,819 U/L). He was found to be HBs Ag-positive. The result of abdominal sonogram revealed mild fatty liver. The brain computerized tomography showed negative fi ndings except mild brain atrophy. After his medical condition was stabilized, he showed persistent confusional features with ataxia, restlessness, and intermittent agitation. He also had prominant decline of language function. Under the impression of R/O delirious mania, he had received lorazepam, olanzapine, lithium, topiramate, and even clozapine, but he had poor response with all those mdications. |
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