Delirium with delayed diagnosis of hereditary coproporphyria

Abstract

We present a hereditary coproporphyria patient with acute psychiatric symptoms and skin lesions initially misdiagnosed with schizoaffective disorder and later developed hyperactive delirium and atrial fibrillation requiring intensive care unit admission. He recovered after administering glucose infusions and the discontinuation of porphyrinogenic medications.

Keywords: atrial fibrillation; delirium; porphyria.