Cefepime-Induced Nonconvulsive Status Epileticus Presenting as Coma in a Patient with ESRD on Hemodialysis / 대한신장학회지
Korean Journal of Nephrology
;
: 537-541, 2011.
Article
in Korean
| WPRIM
| ID: wpr-64072
ABSTRACT
Cefepime-induced nonconvulsive status epilepticus (NCSE) in end-stage renal disease (ESRD) patients receiving hemodialysis has only rarely been reported. Here we report a case of cefepime-induced NCSE presenting as coma in a patient with ESRD on hemodialysis. A 73-year-old man, who had been receiving maintenance hemodialysis, developed aphasia and coma during cefepime therapy for epidural abscess. Emergent eletroencephalography (EEG) revealed evidence of NCSE. The abnormal EEG findings were resolved and comatose mentality was completely recovered after cessation of cefepime and administration of anticonvulsive drugs. Cefepime-induced NCSE should be considered if neurological symptoms including comatose mentality develops during cefepime therapy in a patient with renal failure.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Aphasia
/
Status Epilepticus
/
Cephalosporins
/
Renal Dialysis
/
Coma
/
Epidural Abscess
/
Electroencephalography
/
Renal Insufficiency
/
Kidney Failure, Chronic
/
Anticonvulsants
Limits:
Aged
/
Humans
Language:
Korean
Journal:
Korean Journal of Nephrology
Year:
2011
Type:
Article
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