Soentjens Patrick, Delanote Marc, Van Gompel Alfons
Department of Internal Medicine, University Hospital Gasthuisberg, Leuven, Belgium.
J Travel Med. 2006 May-Jun;13(3):172-4. doi: 10.1111/j.1708-8305.2006.00037.x.
Mefloquine is indicated as oral treatment and as prophylaxis for malaria in areas where chloroquine-resistant malaria is present. Gastrointestinal and neuropsychiatric side effects of mefloquine are well known. More severe neuropsychiatric disorders such as psychosis, depression, hallucinations, and seizures are also reported in the literature. We are reporting a case of drug-induced pneumonia due to mefloquine. This diagnosis was confirmed 4 months after the adverse event, after restarting the same malaria prophylaxis, which could be considered as an unintentional provocation test. This is the third case report in the literature of acute lung injury caused by mefloquine.
甲氟喹被指定用于对氯喹耐药疟疾流行地区的疟疾进行口服治疗和预防。甲氟喹的胃肠道和神经精神方面的副作用是众所周知的。文献中也报道了更严重的神经精神障碍,如精神病、抑郁症、幻觉和癫痫发作。我们报告一例由甲氟喹引起的药物性肺炎病例。在不良事件发生4个月后,重新开始相同的疟疾预防措施,这可被视为一次无意的激发试验,之后该诊断得到证实。这是文献中第三例由甲氟喹引起急性肺损伤的病例报告。