Clarithromycin-induced Seizures and Status Epilepticus
| Autor: | Rajesh B Iyer, Javeria Nooraine, Jaychandran Ramachandran, Raghavendra Seetharam |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Nonconvulsive status epilepticus
Systemic disease Pediatrics medicine.medical_specialty medicine.diagnostic_test Adverse effects business.industry Case Report Magnetic resonance imaging Status epilepticus Critical Care and Intensive Care Medicine medicine.disease Antibiotics Clarithromycin Neurotoxicity medicine Causes of seizures Csf analysis Delirium medicine.symptom Adverse effect business medicine.drug |
| Zdroj: | Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine |
| ISSN: | 1998-359X 0972-5229 |
| DOI: | 10.5005/jp-journals-10071-23900 |
| Popis: | Clarithromycin is a commonly used antibiotic. Neuropsychiatric adverse effects are recognized, but the occurrence of seizures and status epilepticus (SE) has been rarely reported. We report the case of an elderly patient who developed generalized tonic-clonic seizures (GTCS) followed by nonconvulsive status epilepticus (NCSE), 2 days after starting clarithromycin. Other causes of seizures were excluded by magnetic resonance imaging (MRI) of the brain, CSF analysis, and routine laboratory studies, thus establishing the causal role of clarithromycin. Clarithromycin was stopped and parenteral antiepileptic drugs started, which controlled the status. In the elderly, symptoms like delirium, drowsiness, confusion, or seizures can occur due to an underlying systemic disease, brain pathology, or adverse effects of medications, all of which must be correctly differentiated. This case illustrates the occurrence of seizures and SE due to clarithromycin. Awareness about this possibility will help physicians recognize and treat such situations promptly. How to cite this article: Seetharam R, Iyer RB, Nooraine J, Ramachandran J. Clarithromycin-induced Seizures and Status Epilepticus. Indian J Crit Care Med 2021;25(8):945–947. |
| Databáze: | OpenAIRE |
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