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以阴性肌阵挛为表现的头孢吡肟神经毒性

Negative myoclonus as a manifestation of cefepime neurotoxicity.

作者信息

Umemoto Daichi, Kuroda Hirokazu, Nishioka Hiroaki

机构信息

Department of General Internal Medicine Kobe City Medical Center General Hospital Kobe Hyogo Japan.

Department of Infectious Diseases Kobe City Medical Center General Hospital Kobe Hyogo Japan.

出版信息

Clin Case Rep. 2023 Dec 28;12(1):e8380. doi: 10.1002/ccr3.8380. eCollection 2024 Jan.

Abstract

Negative myoclonus may present in the early stages of cefepime neurotoxicity. Cefepime neurotoxicity typically presents as reduced consciousness, myoclonus, and seizures; however, negative myoclonus is uncommon. This video shows an older woman with cefepime neurotoxicity that presented as a negative myoclonus of the upper limbs.

摘要

负性肌阵挛可能出现在头孢吡肟神经毒性的早期阶段。头孢吡肟神经毒性通常表现为意识减退、肌阵挛和癫痫发作;然而,负性肌阵挛并不常见。本视频展示了一名患有头孢吡肟神经毒性的老年女性,其表现为上肢的负性肌阵挛。

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本文引用的文献

1
Cefepime neurotoxicity: thresholds and risk factors. A retrospective cohort study.
Clin Microbiol Infect. 2020 Mar;26(3):333-339. doi: 10.1016/j.cmi.2019.06.028. Epub 2019 Jul 5.
2
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Crit Care. 2017 Nov 14;21(1):276. doi: 10.1186/s13054-017-1856-1.

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