During a past admission one year ago, he had developed neutropenia with risperidone, resulting in a white blood cell (WBC) count dropping from 6.0×10 3 to 3.6×10 3/μl. His past history was significant for cognitive deficits and he has had trials of several antipsychotics including haloperidol, fluphenazine, risperidone, aripiprazole and ziprasidone. He had a long history of schizophrenia since his 20s and has had multiple admissions with prior court ordered treatment due to non-adherence with medications. No significant substance use was present and his only medical problem was hypertension. On admission, he presented with marked paucity of thought, flat affect, paranoia, auditory hallucinations and impairments in recent memory, and he was not oriented to time or place. ![]() The patient is a 41-year-old single African American male who was admitted on an involuntary petition after having been found walking on the streets, moving traffic barricades and directing traffic.
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