Abstract
Electroconvulsive therapy (ECT) is a safe and highly effective treatment for certain major mental disorders, including major depressive disorder, bipolar disorder, and certain forms of schizophrenia. The most frequently reported side effects are anterograde amnesia, post-ictal confusion, nausea, headache, myalgia, oral lacerations, and dental injuries. Hyperthermia is not commonly described as a side-effect of ECT. Examination of older texts find reports of fevers occurring after seizures, 1 but the occurrence of hyperthermia after ECT has not been reported since then. We report the case of a patient who experienced four transient high-grade fever episodes following ECT. We provide a differential diagnosis of fever in this particular clinical setting and raise the hypothesis of a neurogenic fever induced by ECT.
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