27th February 2024

A 19-year-old woman is seen in A&E with fever, confusion and muscle rigidity.

DATE	DRUG NAME	DOSE	ROUTE	FREQUENCY	Prescriber’s Signature
10/1/21	DIAZEPAM	10MG	PR	PRN	DR
10/1/21	FLUOXETINE	20MG	ORAL	ONCE DAILY	DR
10/1/21	HALOPERIDOL	5MG	ORAL	TWICE DAILY	DR
10/1/21	SERTRALINE	50MG	ORAL	ONCE DAILY	DR
10/1/21	MOCLOBEMIDE	150MG	ORAL	TWICE DAILY	DR

A 19-year-old woman is seen in A&E with fever, confusion and muscle rigidity. She has bipolar disorder and reports having taken her medication 2 days ago. On examination she is noted to have pallor, tachycardia and excessive sweating.

Her medications are above.

Which is the most likely cause of her presentation?

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