Many medical disorders present with psychiatric symptoms. Teasing out what is caused by the medical problem and what is underlying psychopathology can be a tremendous challenge. We report the case of a young man with no documented past psychiatric history that developed symptoms consistent with bipolar disorder with mood-congruent psychotic features as well as typhoid fever. In this report, we summarize the biological, psychological, and social underpinnings of this rare and interesting case.
EngelG. The need for a new medical model: A challenge for biomedicine. Science1977; 196: 129–136.
2.
StanleyPCAndrewAE. Fregoli syndrome: A rare persecutory delusion in a 17 year old sufferer of psychosis associated with typhoid fever at Jos University Teaching Hospital, Jos, Nigeria. Nigerian Journal of Medicine2002: 33–34.
