case_images: PMC10748610_01
case_images: Malignant-type catatonia includes unstable vital signs and elevated creatinine kinase (CK). (1) indicates when chlorpromazine 50 mg four times daily was used and one administration of intramuscular haloperidol 5 mg. (2) Indicates olanzapine titration starting from 2.5 mg daily up to 30 mg. (3) indicates aripiprazole titration starting from 2.5 mg daily up to 7.5 mg daily. Low-dose aripiprazole is the only antipsychotic used that did not have a subsequent relapse into malignant-type catatonia. Yellow arrows: (a) indicates when electroconvulsive therapy (ECT) was a clinically indicated treatment and (b) indicates when ECT was administered.
case_images: 10.1177_27550834231220504-fig1.jpg
case_images: PMC10748610_01_10.1177_27550834231220504-fig1.jpg
case_images: fig1-27550834231220504
case_images: The patient received intensive supportive care, discontinuation of antipsychotics once again, and over a period of days, had a resolution of malignant catatonia versus NMS (Figure 1).