This 68 year-old female had past history of 1. Schizoaffective disorder 2. HIVD of L-spine, L4-5, left with compressive radiculopathy. She kept OPD follow up and medical control. She suffered from much sputum and cough progressed for over one month. Chest tightness was also noted. No fever, nausea, vomiting, diarrhes, abdominal pain, legs edema was noted. Then she came to FM OPD for management. Empiric abx was given. However, her condition still progressed. Then she was brough to our ER on 100/02/12 . CXR AND CT-scan showed RUL increased infiltration and cavitation lesion. AFS showed 1+. Therefore Rifater 3# and EMB 1.5# were given since 2/17. No immediate complication was noted. Then she was discharged. Then,she went to Psy OPD for regular follow up on 2/25. Facial involuntary movement (intermittent grimace),elbow rigidity was noted.Her daughter said “no grimace” was noted in Oct 2010, but she observed it in FEB 2011” .ZTherefore,her antishift back to risperidone.Besides, PK-MERZ was also add. On 3/9, she came to our ER due to poor intake and poor complicance of antipsychiatic about three days.General weakness was also noted. Lab data on 3/9 was nearly normal at first. However,tonic-clonic seizures was noted on 3/11 for 1 mins. Lab data revealed leukocytosis and CRP elevation. Fortum waas prescribed for infection. Therefore, baain CT-scan was performed on 3/11 and showed no significant finding. On 3/12, tonic-clonic seizures attacked again with cyanosis of four limbs. After neuropam, her condition became stable. Then,neuro was consulted. Anti-TB agent and anti-Psychiatic agent related seizure was under suspicion. Therefore,anticonvulsant agent was not suggested. EKG was pergormed and revealed mild QT- prolong. Then, his condition became stable. After observation, he was refered to our ward for further care.
- 一個青檸Lv 79 年前最佳解答參考資料： Hope I Can Help You ^_^