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Pericardial effusion unmasked SLE in a young schizophrenic male : A case report
A 27-year-old male suddenly developed aggressive behaviour for the first time in his life, while on his workplace. The patient had no insight into his illness and was brought to the local psychiatric hospital by his colleagues where he was admitted as a case of acute mania. He was managed with electroconvulsive therapy (EST) in addition to antipsychotic medication as neuroimaging including CT scan and MRI brain were normal. A few days later, the patient was discharged on anti-psychiatric medicines. However, after six months while on antipsychotic medication, he developed a low-grade fever.He was admitted to a local hospital where in addition to baseline investigations a
lymph node biopsy was done which revealed follicular hyperplasia, without any abnormal cell. Patient’s HBV, HCV, HIV were negative. The patient developed anorexia, significant weight loss and progressive difficulty in getting up from a sitting position. He also developed shortness of breath and presented to King Abdul Aziz specialist hospital in Taif, Saudi Arabia virtually in a bed bound state. He was admitted in the intensive care unit of the hospital.
lymph node biopsy was done which revealed follicular hyperplasia, without any abnormal cell. Patient’s HBV, HCV, HIV were negative. The patient developed anorexia, significant weight loss and progressive difficulty in getting up from a sitting position. He also developed shortness of breath and presented to King Abdul Aziz specialist hospital in Taif, Saudi Arabia virtually in a bed bound state. He was admitted in the intensive care unit of the hospital.
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