Cefepime Induced Encephalopathy in a Non-dialysis Dependent Chronic Kidney Disease Patient: A Case Report
Cefepime is a frequently used fourth-generation cephalosporin antibiotic for a wide variety of infections. Toxic levels of this drug can cause neurological complications. The most common neurological adverse event of cefepime is headache and lightheadedness. Here, we presented a case of cefepime ind...
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Format: | Article |
Language: | English |
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Interna Publishing
2023-01-01
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Series: | Acta Medica Indonesiana |
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Online Access: | https://actamedindones.org/index.php/ijim/article/view/1367 |
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author | Giritharan Muniandy Lydia Kamaruzaman Tan Hui Jan Rozita Mohd Mariamutu Theepa Neesam Ken Fong Voon Beng Pau Kiew Ruslinda Mustafar |
author_facet | Giritharan Muniandy Lydia Kamaruzaman Tan Hui Jan Rozita Mohd Mariamutu Theepa Neesam Ken Fong Voon Beng Pau Kiew Ruslinda Mustafar |
author_sort | Giritharan Muniandy |
collection | DOAJ |
description | Cefepime is a frequently used fourth-generation cephalosporin antibiotic for a wide variety of infections. Toxic levels of this drug can cause neurological complications. The most common neurological adverse event of cefepime is headache and lightheadedness. Here, we presented a case of cefepime induced encephalopathy in a 57-year-old female patient with acute on chronic kidney disease. With an accurate diagnosis that requires a high index of clinical suspicion, prompt management was instituted. She had full resolution of symptoms following discontinuation of the medication and also emergent dialysis. |
first_indexed | 2024-04-09T20:16:30Z |
format | Article |
id | doaj.art-72c8ab1d167e48508513cbb26313d30b |
institution | Directory Open Access Journal |
issn | 0125-9326 2338-2732 |
language | English |
last_indexed | 2024-04-09T20:16:30Z |
publishDate | 2023-01-01 |
publisher | Interna Publishing |
record_format | Article |
series | Acta Medica Indonesiana |
spelling | doaj.art-72c8ab1d167e48508513cbb26313d30b2023-03-31T07:05:07ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322023-01-01551572Cefepime Induced Encephalopathy in a Non-dialysis Dependent Chronic Kidney Disease Patient: A Case ReportGiritharan Muniandy0Lydia Kamaruzaman1Tan Hui Jan2Rozita Mohd3Mariamutu Theepa Neesam4Ken Fong Voon5Beng Pau Kiew6Ruslinda Mustafar7Department of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, MalaysiaNephrology Unit, Department of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, MalaysiaNeurology Unit, Department of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, MalaysiaNephrology Unit, Department of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, MalaysiaNephrology Unit, Department of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, MalaysiaNephrology Unit, Department of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, MalaysiaDepartment of Pharmacy, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia, MalaysiaNephrology Unit, Department of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, MalaysiaCefepime is a frequently used fourth-generation cephalosporin antibiotic for a wide variety of infections. Toxic levels of this drug can cause neurological complications. The most common neurological adverse event of cefepime is headache and lightheadedness. Here, we presented a case of cefepime induced encephalopathy in a 57-year-old female patient with acute on chronic kidney disease. With an accurate diagnosis that requires a high index of clinical suspicion, prompt management was instituted. She had full resolution of symptoms following discontinuation of the medication and also emergent dialysis.https://actamedindones.org/index.php/ijim/article/view/1367cefepimeencephalopathychronic kidney disease |
spellingShingle | Giritharan Muniandy Lydia Kamaruzaman Tan Hui Jan Rozita Mohd Mariamutu Theepa Neesam Ken Fong Voon Beng Pau Kiew Ruslinda Mustafar Cefepime Induced Encephalopathy in a Non-dialysis Dependent Chronic Kidney Disease Patient: A Case Report Acta Medica Indonesiana cefepime encephalopathy chronic kidney disease |
title | Cefepime Induced Encephalopathy in a Non-dialysis Dependent Chronic Kidney Disease Patient: A Case Report |
title_full | Cefepime Induced Encephalopathy in a Non-dialysis Dependent Chronic Kidney Disease Patient: A Case Report |
title_fullStr | Cefepime Induced Encephalopathy in a Non-dialysis Dependent Chronic Kidney Disease Patient: A Case Report |
title_full_unstemmed | Cefepime Induced Encephalopathy in a Non-dialysis Dependent Chronic Kidney Disease Patient: A Case Report |
title_short | Cefepime Induced Encephalopathy in a Non-dialysis Dependent Chronic Kidney Disease Patient: A Case Report |
title_sort | cefepime induced encephalopathy in a non dialysis dependent chronic kidney disease patient a case report |
topic | cefepime encephalopathy chronic kidney disease |
url | https://actamedindones.org/index.php/ijim/article/view/1367 |
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