case_images: PMC10725953_01
case_images: Timeline of relevant events. IVIG, intravenous immunoglobulins.
case_images: fpsyt-14-1270572-g001.jpg
case_images: PMC10725953_01_fpsyt-14-1270572-g001.jpg
case_images: fig1
case_images: In the later hospital course, 2-3 weeks after admission (Figure 1), the patient further developed hypersomnolence and fluctuating catatonic features, including verbigeration, stupor, minimal verbal responsiveness, staring, posturing, negativisms, waxy flexibility, Mitgehen, and mild autonomic instability [Bush-Francis score up to 23]. He could be discharged from the outpatient clinic without any residual psychiatric or neurological symptoms in June 2022 (Figure 1).
case_images: (A) Maculopapular rash (chest). (B) Ax FLAIR (T2) pre contrast, no abnormal signal enhancement. (C) Post contrast AxT1 FLAIR, no abnormal contrast enhancement.
case_images: fpsyt-14-1270572-g002.jpg
case_images: PMC10725953_01_fpsyt-14-1270572-g002.jpg
case_images: fig2
case_images: During the physical exam, a maculopapular rash was observed on the patient's chest and back (as shown in Figure 2A). Magnetic resonance imaging with gadolinium contrast (Figures 2B,C) did not show any structural abnormalities or abnormal intracranial enhancement.