Oliveira, B;
Chaterjee, S;
Burns, A;
(2016)
Lesson of the month 2: An easily missed cause of confusion.
Clinical Medicine
, 16
(5)
pp. 491-493.
10.7861/clinmedicine.16-5-491.
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Abstract
We describe the case of an 85-year-old woman who developed acute confusion, acute kidney injury and temperature spikes while on extended courses of beta-lactams for osteomyelitis. The cause of her deterioration was felt to be due to sepsis when in fact it was as a result of toxicity from antibiotics. This was demonstrated by a rapid resolution in her condition following haemodialysis. We also performed a literature review to appraise the neuro and nephrotoxicity of various antibiotics and how best to manage toxicity when it occurs.
| Type: | Article |
|---|---|
| Title: | Lesson of the month 2: An easily missed cause of confusion |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.7861/clinmedicine.16-5-491 |
| Publisher version: | http://doi.org/10.7861/clinmedicine.16-5-491 |
| Language: | English |
| Additional information: | This version is the version of record. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Acute kidney injury , AKI , beta-lactams , dialysis , encephalopathy , toxicity |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1525592 |
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