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M94A0666.TXT
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1994-10-21
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Document 0666
DOCN M94A0666
TI Depressive pseudodementia. V. Organic cerebral disease.
DT 9412
AU Cockram AM; Judd FK; Mijch AM; Fairfield Hospital, Melbourne.
SO Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:50 (abstract no. TP3).
Unique Identifier : AIDSLINE ASHM5/94348989
AB A 30 year homosexual man, was referred for assessment of depressed mood.
He had recently been an inpatient for treatment of Mycobacterium avium
bacteremia, but had responded well to treatment and had returned to full
time employment. He described low mood of several months duration,
anxiety, sleep disturbance, poor appetite and loss of weight. He had
continued to work, but had noted poor concentration, memory impairment
and decreased work performance. A diagnosis of moderately severe
depression was made and treatment with antidepressants commenced. Over
the following 3 weeks the dose of medication was progressively
increased, but his mood did not improve, and his complaints of memory
and concentration difficulties increased. He was admitted for further
assessment and treatment. Neurological examination revealed bilateral
hyperreflexia in the lower limbs, sensory loss in a stocking
distribution to above the ankles bilaterally, and ataxic gait, Romberg
+ve. Extensive investigations revealed no organic cause for his
depression. Antidepressant medication was changed from prothiaden to
fluoxetine. Over the following 3 weeks his mood improved, and his
concentration and memory difficulties resolved. He returned to work 4
weeks after commencing fluoxetine.
DE Activities of Daily Living/PSYCHOLOGY Adult AIDS Dementia Complex/DRUG
THERAPY/*PSYCHOLOGY Case Report Depressive Disorder/DRUG
THERAPY/*PSYCHOLOGY Dothiepin/THERAPEUTIC USE Factitious
Disorders/DRUG THERAPY/*PSYCHOLOGY Fluoxetine/THERAPEUTIC USE
Homosexuality/PSYCHOLOGY Human Male Neuropsychological Tests MEETING
ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).