Abstract

failed. He had very poor motor control and was initially unsafe to mobilise. Some of his baseline function was regained and he was discharged home with a care package. Discussion: This case highlights the importance of early recognition of the syndrome and subsequent prompt treatment with intensive care support. Despite suffering from a very complicated course, supportive treatment ensured survival and discharge from ITU. The mortality from NMS has reduced significantly over the last few decades. However, associated with the improved survival, there is increased recognition of persistent sequelae. In our patient, the prolonged recovery phase may have been due to exacerbation of his underlying schizophrenia, ITU delirium or related to the NMS itself. Further research will guide us in measures that prevent persistent sequelae and inform future management to ensure better outcomes.

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