Case Presentation: A 68 year old woman with a past history notable for recurrent urinary tract infections presents with one day of confusion, odd postures, mutism, and subjective fever. In the Emergency Department, she was febrile to 103o, tachycardic, and appeared restless, with odd purposeless movements of her extremities. She was only able to follow [...]

Case Presentation: A 64 year-old woman presented with two weeks of progressive refusal to eat, weakness, and somnolence. She had two weeks of abdominal pain that was worse with eating and diarrhea with significant weight loss and generalized weakness. She also endorsed worsening depression and suicidal ideation. Per the family, she was delusional and “losing [...]

Case Presentation: A 40 year-old female with previous out of state hospitalizations for MDD and bipolar disorder with psychotic features presented with disorganized thoughts, withdrawn affect and depression at the behest of her family. Psychiatric evaluation noted echolalia, negativism, withdrawal and poor PO intake. A diagnosis of severe depression with catatonic features was made and [...]

Case Presentation: 41 year old male with a history of substance use (Phencyclidine/PCP) was brought to the hospital after being found nude and unconscious outside for an unknown period. At presentation he was awake but mute, not following commands nor tracking with his eyes. He was intermittently agitated. Exam notable for fever 103F, heart rate [...]

Case Presentation: A 73 year-old woman presented with lethargy and decreased responsiveness for one day.  She did not respond to her name or noxious stimuli and did not follow commands.  She would spontaneously repeat the phrase “I see the light” but was otherwise non-verbal.  Waxy rigidity was noted on passive extension and flexion of her [...]

Case Presentation: A 32 year-old female with history of systemic lupus erythematosus, depression and anxiety was admitted to the medical ward with cytomegalovirus pneumonitis and viremia. On hospitalization day 21, patient had an acute change in mental status becoming nonverbal and non-interactive with examiner. Medications at the time of incident were ceftriaxone, valgancyclovir, thiamine, prednisone [...]

Case Presentation: A 53-year-old female with a past medical history of hypertension presented with three days of progressively worsening confusion, aphasia, poor PO intake, and urinary incontinence. Vital signs were within normal limits. Physical exam notable for orientation only to person and place, hyperreflexia, and no other focal neurologic deficits. Initial workup significant for positive [...]

Case Presentation: A 58-year-old male with a history of chronic anemia and schizophrenia presented to the emergency department (ED) from home for seven days of worsening COVID-19 respiratory disease. He was admitted for hypovolemic shock and non-ST-segment elevation myocardial infarction (NSTEMI). His home dose of haloperidol 5 mg daily and 20 mg nightly was continued. [...]

Case Presentation: A 44-year-old female with CKD5, ESRD, HIV on ARV (abacavir, dolutegravir, lamivudine) was admitted for sepsis and diagnosed with an iliac vein hematoma. She underwent three different operations, and on the third day after the last procedure she stopped talking or communicating with family, staff and refused to eat. In the days prior, [...]

Case Presentation: A twenty-two-year-old male with unknown history was brought in with altered mental status (AMS). On exam he was lying in bed, clutching a taco sauce packet mid-air as if perpetually about to pour; he remained immobile for 10 minutes, exhibited waxy flexibility, and did not respond to questions or commands. Bush-Francis Catatonia score [...]