Department of Clinical Pharmacy, Hacettepe University Faculty of Pharmacy, Ankara, Turkey
Department of Internal Medicine, Division of Intensive Care Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Eur J Hosp Pharm. 2023 Dec 27;31(1):66-67. doi: 10.1136/ejhpharm-2023-003786.
Polymyxin B and colistin are considered the last therapeutic option to treat infections caused by highly drug-resistant bacteria. However, their administration may lead to various adverse effects such as nephrotoxicity, neurotoxicity, and allergic reactions. The current case report presents the clinical manifestation of polymyxin B-associated neurotoxicity in a female patient with no chronic illness history. The patient was rescued from under rubble during an earthquake. She was diagnosed with an intra-abdominal infection caused by ( After the initiation of the polymyxin B infusion, the patient developed numbness and tingling sensations in her hands, face, and head. On discontinuing polymyxin B and starting colistimethate, the patient's symptoms improved. Therefore, healthcare professionals should be aware of the potential risk factors associated with neurotoxicity in patients receiving polymyxin B. On identifying such symptoms treatment should be discontinued promptly to prevent further neurological damage.
黏菌素和多黏菌素 B 被认为是治疗高度耐药菌感染的最后治疗选择。然而,它们的使用可能会导致各种不良反应,如肾毒性、神经毒性和过敏反应。本病例报告介绍了一位无慢性病史的女性患者在接受多黏菌素 B 治疗时出现神经毒性的临床表现。该患者在地震中被埋在废墟下。她被诊断为患有腹腔内感染,由 (多黏菌素 B 输注开始后,患者出现手部、面部和头部麻木和刺痛感。停止使用多黏菌素 B 并开始使用黏菌素后,患者的症状有所改善。因此,医护人员应该意识到接受多黏菌素 B 治疗的患者发生神经毒性的潜在危险因素。一旦发现这些症状,应立即停止治疗,以防止进一步的神经损伤。