{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:10:01Z","timestamp":1756368601666,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 38-year-old man with an underlying psychiatric illness presented with altered sensorium and abnormal behaviour. He was febrile at 38\u00b0C and weak looking; otherwise no other abnormalities were detected. A blood film conducted for malarial parasite (BFMP) revealed <jats:italic>Plasmodium falciparum<\/jats:italic>; hence a diagnosis of cerebral malaria was made. He was treated with antimalarial drugs for 2\u2005days prior to being transferred out to the ward following clinical improvement. He subsequently developed episodes of stupor and refusal of feeding. Following an evaluation by the psychiatrist, a diagnosis of catatonic schizophrenia was made and he was started on oral sulpiride and benhexol. Unfortunately, he developed high-grade fever at 40\u00b0C with muscle rigidity and fasciculation. The diagnosis of neuroleptic malignant syndrome (NMS) was clinched and the antipsychotics were discontinued. However he succumbed to NMS several days later due to multiorgan failure.<\/jats:p>","DOI":"10.1136\/bcr-2013-009061","type":"journal-article","created":{"date-parts":[[2013,5,23]],"date-time":"2013-05-23T08:55:26Z","timestamp":1369299326000},"page":"bcr2013009061","source":"Crossref","is-referenced-by-count":1,"title":["Neuroleptic malignant syndrome masked by cerebral malaria"],"prefix":"10.1136","volume":"2013","author":[{"given":"Kumar Muniandy","family":"Rajesh","sequence":"first","affiliation":[{"name":"Medicine Based Department, School of Medicine, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vellan","family":"Sinnathamby","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care, Kulim Hospital, Kulim, Kedah, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arul N","family":"Sakthi","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care, Queen Elizabeth Hospital, Kota Kinabalu, Sabah, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,5,22]]},"reference":[{"key":"2025082800360232000_2013.may22_1.bcr2013009061.1","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/S0025-7125(16)30278-4","article-title":"Neuroleptic malignant syndrome","volume":"2013","author":"Caroff","year":"1993","journal-title":"Med Clin North Am"},{"key":"2025082800360232000_2013.may22_1.bcr2013009061.2","first-page":"445","article-title":"Neuroleptic malignant syndrome. 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