Secondary mania associated with enterococcal meningitis in an elderly patient

Abstract Primary mania is associated with bipolar disorder, whereas secondary mania may result from many etiologies, including metabolic, pharmacological and neurological causes. Strong evidence has shown that, in older adults, new onset mania is more likely associated with an underlying cause, sugg...

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Bibliographic Details
Published in:General hospital psychiatry 2011-05, Vol.33 (3), p.301.e1-301.e2
Main Authors: Liang, Chih-Sung, M.D, Yang, Fei-Wen, M.D
Format: Article
Language:English
Subjects:
Aged
Anti-Bacterial Agents - therapeutic use
Antimanic Agents - therapeutic use
Bipolar Disorder - drug therapy
Bipolar Disorder - etiology
Elderly
Enterococcal meningitis
Enterococcus - drug effects
Enterococcus - isolation & purification
Female
Humans
Mania
Meningitis, Bacterial - complications
Meningitis, Bacterial - drug therapy
Meningitis, Bacterial - psychology
Psychiatry
Treatment Outcome
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Summary:Abstract Primary mania is associated with bipolar disorder, whereas secondary mania may result from many etiologies, including metabolic, pharmacological and neurological causes. Strong evidence has shown that, in older adults, new onset mania is more likely associated with an underlying cause, suggesting that late-onset mania is often secondary [ Bipolar Disord . 2004;6(5):343–67]. Cryptococcal meningitis has been reported to induce secondary mania [ Gen Hosp Psychiatry . 2005;27(4):301–3]. Here, we present a 75-year-old female patient who developed mania as a symptom of enterococcal meningitis. To our knowledge, this is the first report describing secondary mania in a case of enterococcal meningitis.
ISSN:0163-8343
1873-7714
DOI:10.1016/j.genhosppsych.2010.11.002