Khoo Ching Soong, Tee Tze Yuan, Tan Hui Jan, Ali Raymond Azman
Neurology Unit, Department of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
J Neurosci Rural Pract. 2019 Apr-Jun;10(2):324-326. doi: 10.4103/jnrp.jnrp_315_18.
We report a patient with end-stage renal disease on peritoneal dialysis, who developed encephalopathy after receiving a few doses of cefepime. He recovered clinically and electroencephalographically after having discontinued the culprit agent and undergone hemodialysis. This case highlights the importance of promptly recognizing this reversible encephalopathy, which can lead to the avoidance of unnecessary workup, reduce the length of hospital stay, and thereby improve the patients' outcome.
我们报告了一名接受腹膜透析的终末期肾病患者,该患者在接受几剂头孢吡肟后发生了脑病。在停用致病药物并进行血液透析后,他在临床和脑电图方面均已康复。该病例凸显了及时识别这种可逆性脑病的重要性,这可避免不必要的检查,缩短住院时间,从而改善患者的预后。