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Case Reports in Critical Care
Volume 2017, Article ID 1951965, 4 pages
https://doi.org/10.1155/2017/1951965
Case Report

Malignant Catatonia Warrants Early Psychiatric-Critical Care Collaborative Management: Two Cases and Literature Review

1Department of Medicine, Maricopa Medical Center, Phoenix, AZ, USA
2Department of Psychiatry, Maricopa Medical Center, Phoenix, AZ, USA
3College of Medicine, University of Arizona, Phoenix, AZ, USA
4College of Medicine, Mayo Clinic, Scottsdale, AZ, USA

Correspondence should be addressed to Julia Park; moc.liamg@krapailujot

Received 10 November 2016; Accepted 5 January 2017; Published 30 January 2017

Academic Editor: Gil Klinger

Copyright © 2017 Julia Park et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Malignant catatonia (MC) is a life-threatening manifestation which can occur in the setting of an underlying neuropsychiatric syndrome or general medical illness and shares clinical and pathophysiological features and medical comorbidities with the Neuroleptic Malignant Syndrome (NMS). The subsequent diagnosis and definitive therapy of MC are typically delayed, which increases morbidity and mortality. We present two cases of MC and review recent literature of MC and NMS, illustrating factors which delay diagnosis and management. When clinical features suggest MC or NMS, we propose early critical care consultation and stabilization with collaborative psychiatric management.