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Influenza Infection Causing Manic Psychosis

Published online by Cambridge University Press:  29 January 2018

D. Steinberg ,
S. R. Hirsch ,
S. D. Marston ,
K. Reynolds  and
R. N. P. Sutton
D. Steinberg
Affiliation:
The Maudsley Hospital, Denmark Hill, London, SE5 8AF
S. R. Hirsch
Affiliation:
The Maudsley Hospital; currently attached Research Worker, M.R.C. Social Psychiatry Unit, Institute of Psychiatry, De Crespigny Park, London, S.E.5
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Extract

Although depression is well known as a sequel to influenza, mania is not. We describe a patient with a severe psychotic illness who first showed features of a confusional state but then developed a manic psychosis. The occurrence of functional affective psychoses during or following systemic physical illness has been well described (Bonhoeffer, 1909; Kraepelin, 1921; Kiloh, 1961; Post, 1965), but the nature of the relationship has never been clear. In some instances, the physical illness may simply act as a form of non-specific stress precipitating the mental disorder; evidence for a more direct patho-physiological relationship has been lacking. When, in addition to a background of physical illness, a patient shows disorientation and clouding of consciousness together with signs of a manic psychosis, the diagnostic problem is especially difficult, particularly so since a confusional state can occur as part of a severe manic illness (Maudsley, 1895; Kraepelin, 1921). Conversely, hypomanic symptoms can occur in an organic psychosis (Bonhoeffer, 1909).

Type
Research Article
Information
The British Journal of Psychiatry , Volume 120 , Issue 558 , May 1972 , pp. 531 - 535
Copyright
Copyright © Royal College of Psychiatrists, 1972 

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References

Bental, E. (1958). ‘Acute psychosis due to encephalitis following Asian influenza.’ Lancet, ii, 18–20.Google Scholar
Bonhoeffer, K. (1909). ‘Exogenous psychoses.’ Zentralblatt f. Nervenheilkunde u. Psychiatric, 32, 499.Google Scholar
British Medical Journal (1971). Editorial, i, 357.Google Scholar
Clarke, S. K. R., Heath, R. B., Sutton, R. N. P., and Stuart-Harris, C. H. (1958). ‘Serological studies with Asian strain of Influenza A.’ Lancet, i, 814–8.Google Scholar
Cleobury, J. F., Skinner, G. R. B., Thouless, M. E., and Wildy, P. (1971). ‘Association between psychopathic disorder and serum antibody to herpes simplex virus (Type 1).’ British Medical Journal, i, 438–9.Google Scholar
Connolly, J. H., Allen, I. V., Hurwitz, L. J., and Miller, J. H. D. (1967). ‘Measles—virus antibody and antigen in subacute sclerosing panencephalitis.’ Lancet, i, 542–4.Google Scholar
Dubowitz, V. (1958). ‘Influenzal encephalitis.’ Lancet, i, 140–1.Google Scholar
Dunbar, J. M., Jamieson, W. M., Langlands, J. H. H., and Smith, G. H. (1958). ‘Encephalitis and influenza.’ British Medical Journal, i, 913–5.Google Scholar
Economo, , von, C. (1931). Encephalitis Lethargica. (Trans. Newman, K. O.) London: Oxford University Press.Google Scholar
Flewitt, T. H., and Hoult, J. G. (1958). ‘Influenza encephalopathy and post-influenzal encephalitis.’ Lancet, ii, 11–15.Google Scholar
Himmelhoch, J., Pincus, J., Tucker, G., and Detre, T. (1970). ‘Sub-acute encephalitis: behavioural and neurological aspects.’ British Journal of Psychiatry, 116, 531–8.Google Scholar
Horta-Barbosa, L., Fuccillo, D. A., London, W. T., Jabbour, J. T., Zeman, W., and Severe, J. L. (1969). ‘Isolation of measles virus from brain cell cultures of two patients with subacute sclerosing panencephalitis.’ Proceedings of the Society for Experimental Biology and Medicine, 132, 272–7.Google ScholarPubMed
Kapila, C. C., Kaul, S., Kapur, S. C., Kalayanam, T. S., and Bannerjee, D. (1958). ‘Neurological and hepatic disorders associated with influenza.’ British Medical Journal, ii, 1311–4.Google Scholar
Kiloh, L. G. (1961). ‘Pseudo-dementia.’ Acta Psychiatrica Scandinavica, 37, 336–51.Google Scholar
Kraepelin, E. (1921). Manic-Depressive Insanity. Edinburgh: E. and S. Livingstone.Google Scholar
Legg, N. J. (1967). ‘Virus antibodies in subacute sclerosing panencephalitis: a study of 22 patients.’ British Medical Journal, iii, 350–2.Google Scholar
Lloyd-Still, R. M. (1958). ‘Psychosis following Asian Influenza in Barbados.’ Lancet, ii, 20–1.Google Scholar
Maudsley, H. (1895). The Pathology of Mind. 2nd Ed. London: Macmillan.Google Scholar
Misra, P. C., and Hay, G. G. (1971). ‘Encephalitis presenting as acute schizophrenia.’ British Medical Journal, i, 532–3.Google Scholar
McConkey, B., and Daws, R. A. (1958). ‘Neurological disorders associated with Asian Influenza.’ Lancet, ii, 15–7.Google Scholar
Oosters, J. H., and Groen, R. H. (1970). ‘Four patients with psychotic disorders after influenza.’ Nederlands Tijdschrift voor Geneeskunde, 114, 29, 1206–8.Google Scholar
Post, F. (1965). The Clinical Psychiatry of Late Life. London: Pergamon.Google Scholar
Shearer, M. L., and Finch, S. M. (1964). ‘Periodic organic psychosis associated with recurrent herpes simplex.’ New England Journal of Medicine, 271, 10, 494–7.Google Scholar
Slater, E., and Roth, M. (1969). Clinical Psychiatry. London: Baillière, Tindall and Cassell.Google Scholar
Wells, C. E. (1971). ‘Neurological complications of so-called “influenza”, a winter study in South-East Wales.’ British Medical Journal, i, 369–73.Google Scholar
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