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Despite acute renal failure, the patient was repeatedly transferred between medical and psychiatric wards; diagnosis and management were delayed, with potentially catastrophic consequences. NMS is a rare, life-threatening neurological disorder that can present atypically and requires emergency medical rather than psychiatric care. Clinicians must proactively distinguish between medical emergencies (including acute confusional states\/delirium) and mental illness. Prompt, accurate diagnosis, management on the appropriate ward and effective teamwork between specialties are essential to improve patient outcomes in this potentially fatal condition.<\/jats:p>","DOI":"10.1136\/bcr-2016-214901","type":"journal-article","created":{"date-parts":[[2016,6,13]],"date-time":"2016-06-13T12:34:40Z","timestamp":1465821280000},"page":"bcr2016214901","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Atypical neuroleptic malignant syndrome"],"prefix":"10.1136","volume":"2016","author":[{"given":"Ann","family":"Collins","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Drew","family":"Davies","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharmila","family":"Menon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,6,13]]},"reference":[{"key":"2025042703331614000_2016.jun13_1.bcr2016214901.1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.10m06438"},{"key":"2025042703331614000_2016.jun13_1.bcr2016214901.2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2004-815511"},{"key":"2025042703331614000_2016.jun13_1.bcr2016214901.3","first-page":"18","article-title":"Mortality from neuroleptic malignant syndrome","volume":"50","author":"Shalev","year":"1989","journal-title":"J Clin Psychiatry"},{"key":"2025042703331614000_2016.jun13_1.bcr2016214901.4","first-page":"79","article-title":"The neuroleptic malignant syndrome","volume":"41","author":"Caroff","year":"1980","journal-title":"J Clin Psychiatry"},{"key":"2025042703331614000_2016.jun13_1.bcr2016214901.5","first-page":"355","article-title":"Atypical neuroleptic malignant syndrome","volume":"20","author":"Vedie","year":"1994","journal-title":"Encephal"},{"key":"2025042703331614000_2016.jun13_1.bcr2016214901.6","doi-asserted-by":"publisher","DOI":"10.1002\/j.1552-4604.1994.tb02001.x"},{"key":"2025042703331614000_2016.jun13_1.bcr2016214901.7","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199607000-00024"},{"key":"2025042703331614000_2016.jun13_1.bcr2016214901.8","doi-asserted-by":"publisher","DOI":"10.1592\/phco.28.4.530"},{"key":"2025042703331614000_2016.jun13_1.bcr2016214901.9","first-page":"14","article-title":"Atypical antipsychotics and neuroleptic malignant syndrome","volume":"30","author":"Caroff","year":"2000","journal-title":"Psychiatr Ann"},{"key":"2025042703331614000_2016.jun13_1.bcr2016214901.10","first-page":"36","article-title":"Neuroleptic malignant syndrome: still a risk, but which patients may be in danger?","volume":"2","author":"Caroff","year":"2003","journal-title":"Curr Psychiatry"},{"key":"2025042703331614000_2016.jun13_1.bcr2016214901.11","first-page":"25","article-title":"Neuroleptic malignant syndrome","volume":"24","author":"Caroff","year":"1988","journal-title":"Psychopharmacol Bull"},{"key":"2025042703331614000_2016.jun13_1.bcr2016214901.12","doi-asserted-by":"publisher","DOI":"10.1177\/2045125312438215"},{"key":"2025042703331614000_2016.jun13_1.bcr2016214901.13","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (APA). 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