Mr. IJ (male, 42 years old) presents to Accident and Emergen…
Mr. IJ (male, 42 years old) presents to Accident and Emergency (A&E) with symptoms of feeling generally unwell, fever and shaking. He has a past medical history of schizophrenia and was commenced on a titrating dose of clozapine 1 month ago; he is currently taking 150mg twice a day. His bloods are as follows: Biochemistry: Sodium 138 mmol/L (137-144) Potassium 4.5 mmol/L (3.5-4.9) Urea 4.3 mmol/L (2.5-7.0) Creatinine 70 micromol/L (60 – 110) Creatinine Kinase 70 IU/L (29 – 168) Haematology: Hb 110 g/L (115-165) Platelets 178 x 109/L (150-400) WBC 3.05 x 109/L (3-10) Neutrophils 0.4 x 109/L (1.5-7.0) Which of the following is the MOST LIKELY diagnosis?