Wellness and Healthcare Informatics

This clinical case was developed and diagnosed 25 years later of the traumatogenic event before this time had never gave symptoms. Patient was male, 45 years old, police, he made his consulting about breakdown of relationships, rage by minimal disturbs and frustrations and impulsive development, all of that began exactly 10 months before, when he was re- located in his job by his own. He was war veteran in the Falkland Islands, being one of last in get retired to take the last airplane from Port Stanley to continental territory. When he was on board, the plane was still in pre flight maneuvers, one of this was fuel load. The place where the patient was located was a site of automotor verifications, behind the choppers hangar and operations of this aerial division. Patient denies mood disorders or anxiety, scoring in HAM-A was highly, plasmatic 5HT was down, 5HIAA in urine/24 hours was highly and had a bifasic curve of plasmatic cortisol. Searching for traumatogenic or traumatic events, he couldn’t remember anyone, even not war. He told as casual that clinical symptoms was near 10 am and 4 pm, the same hour of choppers were reloaded with fuel, and the same fuel that uses the plane that made the last evacuation. He was treated according protocols, with well clinical evolution and leaving treatment by his own after 20 months. Finally, diagnosis was PTSD, being he “trigger” the smell of aviation fuel.