莫西沙星诱导的精神状态改变

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Acta Facultatis Medicae Naissensis Pub Date : 2023-01-01 DOI:10.5937/afmnai40-36485
S. Güler, D. Kocaşaban
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引用次数: 0

摘要

莫西沙星是一种抗生素,在急诊科(ED)用于治疗各种感染,特别是慢性支气管炎和社区获得性肺炎的急性加重。该药的副作用主要在胃肠道系统,而中枢神经系统的副作用很少。病例报告:在这里,我们提出了一个老年患者,他的精神状态改变与使用莫西沙星有关。停药后,患者迅速恢复到基线神经状态。在评估急诊科老年患者的精神状态改变时,大部分的努力应该主要用于排除更复杂的诊断。然而,这种方法需要更多的侵入性和高级测试。结论:在这些更复杂的诊断中考虑药物副作用可能会增加患者和医生的无创和无辐射选择。
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Moxifloxacin-induced mental status change
Introduction: Moxifloxacin is an antibiotic used orally or parenterally in the emergency department (ED) for the treatment of various infections, especially acute exacerbation of chronic bronchitis and community-acquired pneumonia. The side effects of the drug are mainly on the gastrointestinal system, while the central nervous system side effects are rare. Case report: Herein, we present an elderly patient who had altered mental status associated with the use of moxifloxacin. Upon discontinuation of the drug, the patient quickly returned to baseline neurologic status. In the evaluation of altered mental status in elderly patients in the ED, much of the effort should be spent primarily on ruling out more complex diagnoses. However, this approach requires more invasive and advanced testing. Conclusion: Considering drug side effects among these more complicated diagnoses may increase noninvasive and radiation-free options for the patient and physician.
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来源期刊
Acta Facultatis Medicae Naissensis
Acta Facultatis Medicae Naissensis MEDICINE, GENERAL & INTERNAL-
CiteScore
0.70
自引率
0.00%
发文量
13
审稿时长
12 weeks
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