A 84-year-old woman with known Parkinson's disease is admitted with a 2-day history of high fever (39.1°C), rigidity, altered consciousness, and raise...

Question

A 84-year-old woman with known Parkinson's disease is admitted with a 2-day history of high fever (39.1°C), rigidity, altered consciousness, and raised creatine kinase (CK 4,200 U/L). Her medications were inadvertently stopped 3 days ago when she was admitted for a urological procedure. What is the MOST likely diagnosis?

Accepted Answer

Parkinson's disease crisis (neuroleptic malignant-like syndrome due to dopaminergic withdrawal)

Answer

Neuroleptic malignant syndrome

Answer

Serotonin syndrome

Answer

Sepsis secondary to urinary tract infection

Answer

Malignant hyperthermia

uk-dgm MCQ (SBA): Parkinson's Disease Crisis from Dopaminergic Withdrawal