A 28-year-old, ambitious, academically successful Asian man with a
zeal for hard work develops infectious mononucleosis and its
resultant lethargy and fatigue. He becomes depressed, then
develops symptoms of mania before turning floridly psychotic.
In his psychotic state he develops grandiose delusions about
being the second son of God after Christ and takes it upon
himself to rid the world of all evil by defeating the
anti-Christ. He kills four people and seriously injures a
fifth. He is arrested and found not guilty by reason of
insanity. He remains a diagnostic puzzle for a long time
before starting to respond to neuroleptic medication.
Ghahramani M, Gooriah V