29岁,缺铁伴多灶性脑梗死

Erika Becerra-Ashby MD , Tiffany Gardner MD , Kelli Robertson MD , Katie E. Raffel MD , Peter Hountras MD
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引用次数: 0

摘要

病例介绍:一名29岁男性,有情绪障碍病史,在朋友要求进行福利检查后被诊断为急性脑病。他最初迷失了方向,记忆力差,并报告了与外星人互动的错觉。在采访过程中,他断断续续地睡着,但能够被唤醒。他否认有任何新症状,只是因为体内有昆虫而进食不舒服。他的朋友报告说,病人每周喝1到2杯酒,在此之前的周末还吸食过LSD和大麻。他还曾在大学期间吸食可卡因,后来因流鼻血而停止吸食。病人报告说,他每天都要服用治疗焦虑症的药物,但他记不起药物的名字。
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A 29-Year-Old With Iron Deficiency and Multifocal Cerebral Infarcts

Case Presentation

A 29-year-old man with a history of mood disorder was admitted with acute encephalopathy after friends had requested a welfare check. He initially was disoriented, with poor recall and reporting delusions of alien interaction. During interview, he was falling asleep intermittently but was able to be aroused. He denied any new symptoms except discomfort with eating because of insects inside his body. His friend reported the patient used alcohol 1 to 2 drinks weekly, and LSD and marijuana use the weekend prior. He also has a remote history of recreational cocaine use in college that stopped because of nosebleeds. The patient reported a daily medication for anxiety, but he was unable to recall the name.

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