E-ISSN 2534-9821
 

Case Report

Online Publishing Date:
03 / 10 / 2022

 


A 27-year-old female with elevated CSF protein, dysphagia, tachycardia and psychosis refractory to antipsychotic treatment with an extensive negative workup

John Mauch, Vivian Nguyen, Mark Ard.


Abstract
There are many causes of psychosis. Some of them are medically related while others are psychiatric. In this case we explore causes of psychosis related to mildly elevated CSF protein in a 27 yo patient with unique physical exam findings: dysphagia, tachycardia, and psychosis refractory to antipsychotic treatment (including a moderate 200 mg dose of Clozapine). Ultimately we did not discover any medically known cause of her psychosis, but our final differential diagnosis included an immune mediated encephalitis; possibly as a result of COVID-19, or an unknown medical cause. We find it unlikely that this patient has a primary psychiatric disorder as they had no clinical benefit from Invega Sustenna, Olanzapine, and a moderate 200 mg dose of Clozapine.

Key words: Psychosis, encephalitis, COVID-19, treatment refractory


 
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How to Cite this Article
Pubmed Style

Mauch J, Nguyen V, Ard M. A 27-year-old female with elevated CSF protein, dysphagia, tachycardia and psychosis refractory to antipsychotic treatment with an extensive negative workup. Int J Med Rev Case Rep. 2022; 6(21): 1-5. doi:10.5455/IJMRCR.172-1651851895


Web Style

Mauch J, Nguyen V, Ard M. A 27-year-old female with elevated CSF protein, dysphagia, tachycardia and psychosis refractory to antipsychotic treatment with an extensive negative workup. https://www.mdpub.net/?mno=33631 [Access: April 05, 2024]. doi:10.5455/IJMRCR.172-1651851895


AMA (American Medical Association) Style

Mauch J, Nguyen V, Ard M. A 27-year-old female with elevated CSF protein, dysphagia, tachycardia and psychosis refractory to antipsychotic treatment with an extensive negative workup. Int J Med Rev Case Rep. 2022; 6(21): 1-5. doi:10.5455/IJMRCR.172-1651851895



Vancouver/ICMJE Style

Mauch J, Nguyen V, Ard M. A 27-year-old female with elevated CSF protein, dysphagia, tachycardia and psychosis refractory to antipsychotic treatment with an extensive negative workup. Int J Med Rev Case Rep. (2022), [cited April 05, 2024]; 6(21): 1-5. doi:10.5455/IJMRCR.172-1651851895



Harvard Style

Mauch, J., Nguyen, . V. & Ard, . M. (2022) A 27-year-old female with elevated CSF protein, dysphagia, tachycardia and psychosis refractory to antipsychotic treatment with an extensive negative workup. Int J Med Rev Case Rep, 6 (21), 1-5. doi:10.5455/IJMRCR.172-1651851895



Turabian Style

Mauch, John, Vivian Nguyen, and Mark Ard. 2022. A 27-year-old female with elevated CSF protein, dysphagia, tachycardia and psychosis refractory to antipsychotic treatment with an extensive negative workup. International Journal of Medical Reviews and Case Reports, 6 (21), 1-5. doi:10.5455/IJMRCR.172-1651851895



Chicago Style

Mauch, John, Vivian Nguyen, and Mark Ard. "A 27-year-old female with elevated CSF protein, dysphagia, tachycardia and psychosis refractory to antipsychotic treatment with an extensive negative workup." International Journal of Medical Reviews and Case Reports 6 (2022), 1-5. doi:10.5455/IJMRCR.172-1651851895



MLA (The Modern Language Association) Style

Mauch, John, Vivian Nguyen, and Mark Ard. "A 27-year-old female with elevated CSF protein, dysphagia, tachycardia and psychosis refractory to antipsychotic treatment with an extensive negative workup." International Journal of Medical Reviews and Case Reports 6.21 (2022), 1-5. Print. doi:10.5455/IJMRCR.172-1651851895



APA (American Psychological Association) Style

Mauch, J., Nguyen, . V. & Ard, . M. (2022) A 27-year-old female with elevated CSF protein, dysphagia, tachycardia and psychosis refractory to antipsychotic treatment with an extensive negative workup. International Journal of Medical Reviews and Case Reports, 6 (21), 1-5. doi:10.5455/IJMRCR.172-1651851895