Can antibiotics cause a psychosis?: Case report and review of the literature

作者: Duy Ly , Lynn E DeLisi

DOI: 10.1016/J.SCHRES.2017.01.041

关键词: MedicinePsychosisSchizophreniaIntensive care medicineEpilepsyPsychogenic diseasePsychiatryPeanut butterSchizoaffective disorderBipolar disorderMood stabilizer

摘要: It is relatively unknown that some of the possible side effects antibiotic treatment can be transient psychotic episodes and other encephalopathies such as seizure disorders. Since these are rare events, there have not been many studies about them, nor a clear understanding underlying basis for symptoms. This phenomenon was recently brought to our attention by patient whose case history discussed here. For past few years, he has diagnosed at different times with schizophrenia, schizoaffective disorder, bipolar disorder psychosis, temporal lobe epilepsy, psychogenic nonepileptic seizures. He seen neurologist placed on carbamazepine, which his admittance helped him tremendously. During this same time period, psychiatrists various antipsychotic medications well. The researched medical conditions came conclusion symptoms caused large dose an "antibiotic" given first day basic training military, so called "peanut butter shot", although able convince physicians theory. Whether or chronic schizophrenia-like illness adverse reaction antibiotics, presented clinicians aware neurological psychiatric occur reactions therapy anti-seizure drug concurrently used mood stabilizer may warranted in cases.

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