A case of hemiballism as a rare side effect of ciprofloxacin in a patient with liver cirrhosis.

Abstract:

BACKGROUND:Ciprofloxacin is commonly used and considered to be relatively safe in patients with cirrhosis, especially in the treatment of enteric and urinary tract infections. Among the adverse effects of ciprofloxacin, neurologic complications are rare. METHODS/RESULTS:We report a case of hemiballism and altered mental status after prolonged administration of ciprofloxacin for a renal abscess in a 59-year-old patient with cirrhosis. Hemiballism accompanied by mental changes imposed a diagnostic challenge in the differentiation between hepatic encephalopathy and stroke. CONCLUSION:Careful dosing and a high index of suspicion of the neurological adverse effects of ciprofloxacin including movement disorders are warranted especially in cirrhotic patients.

journal_name

Chemotherapy

journal_title

Chemotherapy

authors

Kim SH,Jeong SH,Kim JW,Lee SH,Kim JM

doi

10.1159/000218098

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

207-10

issue

4

eissn

0009-3157

issn

1421-9794

pii

000218098

journal_volume

55

pub_type

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