Case presentation A 27-year-old woman presented to the emergency department with a one-week history of a generalized vibrating sensation throughout her body accompanied by persistent shaking. She also reported sneezing, nasal discharge, palpitations, and a tremor in her right hand.
Medical history Asthma and depression No prior surgeries or known drug allergies Long-term use of sertraline 100 mg regularly Initial examination Patient appeared acutely distressed, agitated, and diaphoretic Fully alert and oriented to time, place, and person Afebrile with normal vital signs No signs of meningismus Neurological examination Tremors observed in both lower extremities Inducible myoclonus in the legs Hyperreflexia with brisk reflexes in all four limbs Cranial nerve and sensory examinations – Normal Pupils dilated, but reactive to light Cardiopulmonary, abdominal, and dermatological examinations…
