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Reversible Dysphagia Associated With Risperidone Presenting With a Choking Episode
Dysphagia has been associated with antipsychotic drug use. This case report describes the management of dysphagia in a psychiatric patient who presented to the emergency department from a psychiatric facility after choking on a hot dog. The patient was on risperidone 4 mg, initiated a month prior to...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455044/ https://www.ncbi.nlm.nih.gov/pubmed/37637547 http://dx.doi.org/10.7759/cureus.42491 |
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author | Pandit, Shradha Mahat, Krishna |
author_facet | Pandit, Shradha Mahat, Krishna |
author_sort | Pandit, Shradha |
collection | PubMed |
description | Dysphagia has been associated with antipsychotic drug use. This case report describes the management of dysphagia in a psychiatric patient who presented to the emergency department from a psychiatric facility after choking on a hot dog. The patient was on risperidone 4 mg, initiated a month prior to treat acute psychosis. Foreign body removal from the distal trachea was performed by bronchoscopy, followed by a swallow evaluation by the speech and swallow team. The patient exhibited severe oropharyngeal dysphagia, leading to aspiration pneumonia and subsequent enteral feeding through a nasojejunal tube. Changes in medication from risperidone to aripiprazole, along with a short course of benztropine and dietary modifications, were implemented, with gradual improvement in swallowing function observed during the hospital stay. The patient's complex medical and psychiatric history contributed to a prolonged hospital stay. |
format | Online Article Text |
id | pubmed-10455044 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-104550442023-08-26 Reversible Dysphagia Associated With Risperidone Presenting With a Choking Episode Pandit, Shradha Mahat, Krishna Cureus Internal Medicine Dysphagia has been associated with antipsychotic drug use. This case report describes the management of dysphagia in a psychiatric patient who presented to the emergency department from a psychiatric facility after choking on a hot dog. The patient was on risperidone 4 mg, initiated a month prior to treat acute psychosis. Foreign body removal from the distal trachea was performed by bronchoscopy, followed by a swallow evaluation by the speech and swallow team. The patient exhibited severe oropharyngeal dysphagia, leading to aspiration pneumonia and subsequent enteral feeding through a nasojejunal tube. Changes in medication from risperidone to aripiprazole, along with a short course of benztropine and dietary modifications, were implemented, with gradual improvement in swallowing function observed during the hospital stay. The patient's complex medical and psychiatric history contributed to a prolonged hospital stay. Cureus 2023-07-26 /pmc/articles/PMC10455044/ /pubmed/37637547 http://dx.doi.org/10.7759/cureus.42491 Text en Copyright © 2023, Pandit et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Internal Medicine Pandit, Shradha Mahat, Krishna Reversible Dysphagia Associated With Risperidone Presenting With a Choking Episode |
title | Reversible Dysphagia Associated With Risperidone Presenting With a Choking Episode |
title_full | Reversible Dysphagia Associated With Risperidone Presenting With a Choking Episode |
title_fullStr | Reversible Dysphagia Associated With Risperidone Presenting With a Choking Episode |
title_full_unstemmed | Reversible Dysphagia Associated With Risperidone Presenting With a Choking Episode |
title_short | Reversible Dysphagia Associated With Risperidone Presenting With a Choking Episode |
title_sort | reversible dysphagia associated with risperidone presenting with a choking episode |
topic | Internal Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455044/ https://www.ncbi.nlm.nih.gov/pubmed/37637547 http://dx.doi.org/10.7759/cureus.42491 |
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