A rare cause of hypoactive delirium.
BMJ Case Rep
; 20142014 Oct 19.
Article
in En
| MEDLINE
| ID: mdl-25331146
ABSTRACT
A 90-year-old man was transferred to a geriatric evaluation and management (GEM) unit for management of hypoactive delirium following a pneumonia and acute myocardial infarction complicated by septic shock. He was found to have central hypothyroidism and hypoadrenalism leading to the diagnosis of hypopituitarism. Cerebral imaging confirmed this was secondary to a pituitary haemorrhage. This case illustrates the complexity of assessment of delirium and its aetiologies. Hypoactive forms of delirium in particular can be difficult to detect and therefore remain undiagnosed. While this patient's delirium was likely multifactorial, his hypopituitary state explained much of his hypoactivity. His drowsiness, bradycardia, hypotension and electrolyte imbalance provided clinical clues to the diagnosis.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Delirium
/
Hypopituitarism
Type of study:
Etiology_studies
Limits:
Aged80
/
Humans
/
Male
Language:
En
Journal:
BMJ Case Rep
Year:
2014
Document type:
Article
Affiliation country:
Australia