Gupta Vishal, Karnik Niteen D, Deshpande Rushikesh, Patil Meenakshi Amit
Department of Medicine, Seth G Medical College and KEM Hospital, Mumbai, Maharashtra, India.
BMJ Case Rep. 2013 Mar 18;2013:bcr2012008199. doi: 10.1136/bcr-2012-008199.
A young drug abuser was admitted to our intensive care unit for organophosphorus poisoning. He required mechanical ventilation and was started empirically on linezolid for suspected nosocomial infection. The patient developed high-grade fever with altered sensorium and clonus. Serotonin syndrome was suspected and the patient was started on cyproheptadine. He recovered within 3 days of withdrawing linezolide and administering cyproheptadine.
一名年轻的药物滥用者因有机磷中毒入住我们的重症监护病房。他需要机械通气,并因怀疑医院感染而经验性地开始使用利奈唑胺。患者出现高热、意识改变和阵挛。怀疑为血清素综合征,于是给患者开始使用赛庚啶。在停用利奈唑胺并给予赛庚啶后3天内,他康复了。