Abstract :
We report the case of a 28-year-old male in rural Madagascar with iatrogenic hypotension induced by improper treatment of anormal grief response. The man lost both of his children in the spring of 2019 during a measles outbreak that infected atminimum 152,000 individuals on the island. After developing symptoms of chest pain, intermittent tachycardia, and widespreadpain when he would think of his children in the weeks following their loss, he was prescribed gabapentin, lisinopril, andmetoprolol by a general practice nurse. He subsequently developed dizziness, lightheadedness, and fatigue. After visiting MadaClinics two weeks later, all medications were stopped, and the man’s symptoms resolved. This case demonstrates the effects of alack of available mental health care in Madagascar, a country with sixteen available psychiatrists for a rapidly expandingpopulation of over 26 million people.
