Format

Send to

Choose Destination
See comment in PubMed Commons below
BMJ Case Rep. 2014 May 2;2014. pii: bcr2013202639. doi: 10.1136/bcr-2013-202639.

A Lilliputian army under the floorboards: persistent delirium with complete though prolonged recovery.

Author information

1
East Sussex NHS Trust, St Leonards-on-Sea, UK.

Abstract

We report the case of an 83-year-old man who presented with a history of fluctuating delirium of insidious onset, secondary to an amoebic liver abscess more than 30 years after acute exposure. We describe a 2-year clinical journey that started with a fall and was additionally complicated by severe weight loss and acute kidney injury (AKI). The likely prognosis for such a combination of comorbidities in an older person is for lasting morbidity, institutionalisation and significant mortality. However, the case demonstrates that with timely assessment and care complete recovery is possible though it may take many months. It reminds us of the catalytic implications of falls for older persons and to maintain a differential diagnostic approach to delirium of insidious onset avoiding misdiagnosis as dementia with which it may be associated. Our case report includes extracts from the patient's own account providing added insight into such experiences.

PMID:
24792019
PMCID:
PMC4025253
DOI:
10.1136/bcr-2013-202639
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire Icon for PubMed Central
    Loading ...
    Support Center