Delirious mania in geriatric age: A rare presentation

Abstract

Delirious mania is a rare psychiatric syndrome characterized by the presence of delirious and manic symptoms at the same time in a patient with history of bipolar disorder. After its first description in 1832, delirious mania in the literature exists only in the form of case reports and case series. Among the elderly, its occurrence is still rarer. However, an unsuspecting clinician may come across this rare entity and may misdiagnose it for delirium, which needs to be managed aggressively. Hence, we preferred to describe a case of an elderly male here, who presented to us with delirious mania and responded well to olanzapine.

Keywords

• Bipolar disorder
• delirious mania
• delirium
• elderly
• mania