Document 0666
 DOCN  M94A0666
 TI    Depressive pseudodementia. V. Organic cerebral disease.
 DT    9412
 AU    Cockram AM; Judd FK; Mijch AM; Fairfield Hospital, Melbourne.
 SO    Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:50 (abstract no. TP3).
       Unique Identifier : AIDSLINE ASHM5/94348989
 AB    A 30 year homosexual man, was referred for assessment of depressed mood.
       He had recently been an inpatient for treatment of Mycobacterium avium
       bacteremia, but had responded well to treatment and had returned to full
       time employment. He described low mood of several months duration,
       anxiety, sleep disturbance, poor appetite and loss of weight. He had
       continued to work, but had noted poor concentration, memory impairment
       and decreased work performance. A diagnosis of moderately severe
       depression was made and treatment with antidepressants commenced. Over
       the following 3 weeks the dose of medication was progressively
       increased, but his mood did not improve, and his complaints of memory
       and concentration difficulties increased. He was admitted for further
       assessment and treatment. Neurological examination revealed bilateral
       hyperreflexia in the lower limbs, sensory loss in a stocking
       distribution to above the ankles bilaterally, and ataxic gait, Romberg
       +ve. Extensive investigations revealed no organic cause for his
       depression. Antidepressant medication was changed from prothiaden to
       fluoxetine. Over the following 3 weeks his mood improved, and his
       concentration and memory difficulties resolved. He returned to work 4
       weeks after commencing fluoxetine.
 DE    Activities of Daily Living/PSYCHOLOGY  Adult  AIDS Dementia Complex/DRUG
       THERAPY/*PSYCHOLOGY  Case Report  Depressive Disorder/DRUG
       THERAPY/*PSYCHOLOGY  Dothiepin/THERAPEUTIC USE  Factitious
       Disorders/DRUG THERAPY/*PSYCHOLOGY  Fluoxetine/THERAPEUTIC USE
       Homosexuality/PSYCHOLOGY  Human  Male  Neuropsychological Tests  MEETING
       ABSTRACT

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