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Case Reports
. 2004 Jul;33(4):406-7.
doi: 10.1093/ageing/afh103. Epub 2004 Apr 13.

BIPP madness; an iatrogenic cause of acute confusion

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Case Reports

BIPP madness; an iatrogenic cause of acute confusion

Lisa Youngman et al. Age Ageing. 2004 Jul.

Abstract

An 81-year-old man, admitted under the Ear, Nose and Throat Team with persistent epistaxis, developed an acute confusional state. He was previously physically independent and mentally competent. Immediate investigations did not reveal a cause for his deterioration. He eventually made a full recovery and returned home. Subsequently, his serum bismuth level was noted to be within the toxic range and was felt to have been the cause of his confusional state.

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