MSFinals-5201

MSFinals-5201

A 30-year-old female banker was brought into the Emergency Department by her family. They report a 3-day history of depression. She is now complaining of agitation, headache, confusion, fever, sweating and diarrhoea. The family claim she has been down lately and refused to go work after a big fight with her boyfriend. She is taking fluoxetine. The family found empty bottles of fluoxetine and sertraline on the floor of her flat. On examination, she is agitated and sweating; her blood pressure is 150/80 mmHg, pulse 100 bpm, respiratory rate 14 and temperature 39 °C.
What is the most likely diagnosis of this patient?