Moxifloxacin-Induced Mental Status Change Promena mentalnog statusa izazvana maksifloksacinom
Acta Facultatis Medicae Naissensis, cilt.40, sa.1, ss.123-127, 2023 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 40 Sayı: 1
- Basım Tarihi: 2023
- Doi Numarası: 10.5937/afmnai40-36485
- Dergi Adı: Acta Facultatis Medicae Naissensis
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, EMBASE
- Sayfa Sayıları: ss.123-127
- Anahtar Kelimeler: adverse drug reaction, central nervous system, emergency medicine, mental orientation, moxifloxacin (MeSH Database)
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
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 non-invasive and radiation-free options for the patient and physician.