Treatment-Refractory Mania with Psychosis in a Post-Transplant Patient on Tacrolimus: A Case Report.

Abstract

Bipolar affective disorder type I imparts significant morbidity and disease burden in the population. It is characterized by occurrence of one or more manic episodes which may be preceded or followed by a depressive or hypomanic phase. About half of these manic episodes are characterized by the presence of psychotic features. The condition is further complicated when the patient has multiple comorbid conditions. We report here the case of a Caucasian woman, aged 66 years, previously diagnosed with Bipolar disorder who developed treatment refractory mania with psychotic feature after being on the immunosuppressive agent, tacrolimus, after kidney transplantation.

• Authors: Muaid Ithman, Kunal Malhotra, Meelie Bordoloi, Garima Singh
• Journal: Clinical medicine & research (Clin Med Res) Vol. 16 Issue 1-2 Pg. 47-49 (06 2018) ISSN: 1554-6179 [Electronic] United States
• PMID: 29776917 (Publication Type: Case Reports, Journal Article)
• Copyright: © 2018 Marshfield Clinic.

Chemical References

• Antipsychotic Agents
• Immunosuppressive Agents
• Mycophenolic Acid
• Prednisone
• Tacrolimus

Topics

• Aged
• Antipsychotic Agents (therapeutic use)
• Bipolar Disorder (chemically induced, drug therapy)
• Female
• Graft Rejection (prevention & control)
• Humans
• Immunosuppressive Agents (adverse effects, therapeutic use)
• Kidney Transplantation
• Mycophenolic Acid (therapeutic use)
• Prednisone (therapeutic use)
• Psychoses, Substance-Induced (drug therapy, etiology)
• Psychotic Disorders
• Severity of Illness Index
• Tacrolimus (adverse effects)