Evidence map›Paper›PMID 41437749›Full record

ArticleActas espanolas de psiquiatria2025

Delirium Mistaken for Bipolar Disorder in a Paediatric Oncology Patient: A Case Report.

Zhe Shen, Rongwang Yang, Weijia Gao

Abstract readCase Reports
In one paragraph

Article in Actas espanolas de psiquiatria, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Zhe ShenDepartment of Child Psychology, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Children's Regional Medical Center, 310052 Hangzhou, Zhejiang, China.
Rongwang YangDepartment of Child Psychology, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Children's Regional Medical Center, 310052 Hangzhou, Zhejiang, China.
Weijia GaoDepartment of Child Psychology, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Children's Regional Medical Center, 310052 Hangzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Delirium is a clinically significant complication in paediatric oncology that often leads to diagnostic delays. This case describes a 12-year-old boy with high-risk B-cell acute lymphoblastic leukaemia who developed acute neuropsychiatric symptoms, including agitation, hallucinations, seizures, and fluctuating mood states. Initially misdiagnosed with paediatric bipolar disorder, the patient was treated with antipsychotics and sedatives with limited effects. Notably, the hyperactive symptoms transitioned to a hypoactive state following the discontinuation of meropenem. This case illustrates the diagnostic challenges in distinguishing delirium from psychiatric disorders in paediatric settings, especially in the context of complex medical treatments. The case highlights the need for greater clinical awareness, routine delirium screening using validated tools, and careful evaluation of the neurotoxic potential of multiple medications in paediatric oncology patients.

Indexed as

Bipolar DisorderDeliriumDiagnostic ErrorsPrecursor Cell Lymphoblastic Leukemia-LymphomaChildDiagnosis, DifferentialHumansMale

Identifiers

PMID41437749
PMCPMC12728545

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.