ABSTRACT
A 26-year-old woman was brought to the emergency department by her father who reported that he had found her confused and incoherent in her flat. She had been acting ‘out of character’ over recent weeks, demonstrating reluctance to leave her house and complaining of a headache. She had telephoned her father to tell him that she had been vomiting for several hours. She had been incontinent of urine and faeces. The patient was unable to give any further history. Her past medical history was significant for bipolar disorder for which she received monthly depot injections of zuclopenthixol. She took no other drugs, did not drink alcohol and was a non-smoker.
