A friend with history of opiate abuse, followed by severe anxiety related to her behaviour while on opiates, treated with antidepressants with no pos effect( serenely, lexapro, lyrica). Past hx. Of asthma, smoker, surgery for congenital malformation of foramen magnum.  Mood improved following rivotril commencing. Shortly after that developed resp infection which progressed rapidly requiring antibiotics, steroids. Became very aggressive and manipulative and non compliant with hosp staff, condition continued to deteriorate became more psychotic, hypertensive, paranoid, increased resp distress.,uncoordinated movements. Ct brain showed fluid a base of brain. Bp treated Ive labetalol. Steroids stopped( ? Cause of psychosis). Became more lethargic, eyes closed. MRI showed vasculitis with multiple mini strokes at front and base of brain. Commenced on methyl prednisone and anti cancer drug. Now a week later minimal improvements. ( has aspergillosis in sputum which is being treated) lumbar puncture neg.
HIT hank for asking to ChatDoctorNothing is left in disease and nothing is left in investigations every thing seems working in nice way even after having such fatal kind of pathologies your friend still fighting it is great job, you did not ask for any specific help or advise, still I would say that with such health problems having functional elements is very likely, there should be no problem in future just keep it continue whatever going on say good luck to your friend