rss
BMJ Case Reports 2017; doi:10.1136/bcr-2017-223074
  • Rare disease
  • CASE REPORT

Unusual case of anxiety: trichloroethylene neurotoxicity

  1. Joshua Au Yeung
  1. Department of Medicine, Pennine Acute Hospitals NHS Trust, Oldham, Manchester, UK
  1. Correspondence to Dr Joshua Au Yeung, j.auyeung{at}doctors.org.uk
  • Accepted 9 December 2017
  • Published 22 December 2017

Summary

I present an uncommon case of recurrent, intractable anxiety that was presented acutely and slowly evolved into a chronic debilitating condition. A young previously fit and healthy 24-year-old patient presents with somewhat atypical symptoms of anxiety. Full medical work-up including examination, blood, ECG electrocardiogram, electroencephalogram and CT of the head was unremarkable. When the history was explored in detail, it was revealed he worked in the navy and was exposed to a neurotoxic solvent, trichloroethylene. This case highlights the importance of eliciting a detailed occupational history, particularly paying attention to patient demographics such as occupation and presenting symptoms that do not readily fit into diagnostic criteria.

Footnotes

  • Contributors Consent, reviewing the case and writing the case all carried out by the author

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article