Cryptococcal meningitis - a silent culprit behind delirium in a patient with Parkinson’s disease, on levodopa, presenting with urinary tract infection

Patients with Parkinson’s disease are prone to mental disturbances like psychosis and delirium. Psychosis has been attributed to drugs like dopamine agonists, while delirium is commonly seen during the days of hospital stay and infections. This is a case of a 62-year-old lady, a known case of Parkin...

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Main Author: Robin Manappallil
Format: Article
Language:English
Published: PAGEPress Publications 2016-06-01
Series:Italian Journal of Medicine
Subjects:
Online Access:http://www.italjmed.org/index.php/ijm/article/view/619
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author Robin Manappallil
author_facet Robin Manappallil
author_sort Robin Manappallil
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description Patients with Parkinson’s disease are prone to mental disturbances like psychosis and delirium. Psychosis has been attributed to drugs like dopamine agonists, while delirium is commonly seen during the days of hospital stay and infections. This is a case of a 62-year-old lady, a known case of Parkinson’s disease on levodopa therapy, who has had repeated episodes of delirium over the past year. Her delirium episodes were usually associated with urinary tract infection and hyponatremia or as a part of levodopa therapy. However, this time on further evaluation, she was found to have cryptococcal meningitis as the culprit for her delirium.
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spelling doaj.art-af55d32578fb4897bec830b2b17c226e2023-12-02T08:28:55ZengPAGEPress PublicationsItalian Journal of Medicine1877-93441877-93522016-06-0110215415610.4081/itjm.2016.619561Cryptococcal meningitis - a silent culprit behind delirium in a patient with Parkinson’s disease, on levodopa, presenting with urinary tract infectionRobin Manappallil0Department of Internal Medicine, National Hospital, Calicut, KeralaPatients with Parkinson’s disease are prone to mental disturbances like psychosis and delirium. Psychosis has been attributed to drugs like dopamine agonists, while delirium is commonly seen during the days of hospital stay and infections. This is a case of a 62-year-old lady, a known case of Parkinson’s disease on levodopa therapy, who has had repeated episodes of delirium over the past year. Her delirium episodes were usually associated with urinary tract infection and hyponatremia or as a part of levodopa therapy. However, this time on further evaluation, she was found to have cryptococcal meningitis as the culprit for her delirium.http://www.italjmed.org/index.php/ijm/article/view/619DeliriumParkinson’s diseaselevodopaurinary tract infectionmeningitis.
spellingShingle Robin Manappallil
Cryptococcal meningitis - a silent culprit behind delirium in a patient with Parkinson’s disease, on levodopa, presenting with urinary tract infection
Italian Journal of Medicine
Delirium
Parkinson’s disease
levodopa
urinary tract infection
meningitis.
title Cryptococcal meningitis - a silent culprit behind delirium in a patient with Parkinson’s disease, on levodopa, presenting with urinary tract infection
title_full Cryptococcal meningitis - a silent culprit behind delirium in a patient with Parkinson’s disease, on levodopa, presenting with urinary tract infection
title_fullStr Cryptococcal meningitis - a silent culprit behind delirium in a patient with Parkinson’s disease, on levodopa, presenting with urinary tract infection
title_full_unstemmed Cryptococcal meningitis - a silent culprit behind delirium in a patient with Parkinson’s disease, on levodopa, presenting with urinary tract infection
title_short Cryptococcal meningitis - a silent culprit behind delirium in a patient with Parkinson’s disease, on levodopa, presenting with urinary tract infection
title_sort cryptococcal meningitis a silent culprit behind delirium in a patient with parkinson s disease on levodopa presenting with urinary tract infection
topic Delirium
Parkinson’s disease
levodopa
urinary tract infection
meningitis.
url http://www.italjmed.org/index.php/ijm/article/view/619
work_keys_str_mv AT robinmanappallil cryptococcalmeningitisasilentculpritbehinddeliriuminapatientwithparkinsonsdiseaseonlevodopapresentingwithurinarytractinfection