TITLE:
Sigmoid Micro-Perforation and Pelvic Abscess Masquerading as Hyperactive Delirium
AUTHORS:
Samer Alkhuja, Susheer Gandotra, Hirenkumar Faldu, Pravinkumar Patel, Olutunde Odeyemi
KEYWORDS:
Delirium, Dementia, Colon Perforation, Sepsis, Diverticulosis
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.13 No.8,
August
28,
2024
ABSTRACT: Diagnoses Background: Delirium is a common finding in elderly patients with sepsis. Early identification of the cause of delirium and treatment is important to avoid any worsening of mental or physical status. Sepsis secondary to colonic micro-perforation (CMP) in a patient with a history of diverticulosis should be high on the list of differential diagnosis. Case Report: We present a case of a patient who presented with hyperactive sepsis-associated delirium (SAD). Six days after the presentation, the patient started complaining of abdominal pain. An abdominal and pelvic computed tomography (CT) scan showed free air in the abdomen. The patient underwent surgical intervention and treatment with intravenous antibiotics. Pathological examination showed CMP connected to the patient’s history of diverticulosis. Delirium superimposed on dementia (DSD) resulted in the worsening of both the mental and physical status of our patient with the need for placement in a nursing home.