title: [Hoigne syndrome. Case report and current literature review].
abstract: Hoigne's syndrome is currently considered a pseudoanaphylactic or pseudoallergic reaction following intramuscular and aqueous procaine penicillin administration. This disorder is characterized predominantly by neuropsychiatric alterations including severe psychomotor agitation with confusion, sensations of disintegration, depersonalization, and derealization, perceived changes of body shape, visual and auditory hallucinations, panic-like anxiety including fear of death as well as alterations of consciousness and seizures. Beside the "classic" immediate manifestation of Hoigne's syndrome, subacute forms as well as reactions of the so-called latent type are also known. Including a typical case report, we present a review of the currently available literature concerning clinical picture, hypotheses on origin, and possible therapy regimens of this underdiagnosed complication of antibiotic penicillin treatment.
authors.affiliation: Klinik für Psychiatrie und Psychotherapie am Medizinischen Zentrum für Nervenheilkunde der Philipps-Universität Marburg. schreibe@mailer.uni-marburg.de
authors.forename: W
authors.initials: W
authors.lastname: Schreiber
authors.forename: J C
authors.initials: JC
authors.lastname: Krieg
mesh_terms: D000328:Adult; D003702:Delusions / Q000139:chemically induced* / Q000175:diagnosis; D004342:Drug Hypersensitivity / Q000175:diagnosis* / Q000523:psychology; D005260:Female; D006212:Hallucinations / Q000139:chemically induced* / Q000175:diagnosis; D006801:Humans; D010404:Penicillin V / Q000008:administration & dosage / Q000009:adverse effects*; D011605:Psychoses, Substance-Induced / Q000175:diagnosis* / Q000523:psychology; D011671:Pulpitis / Q000188:drug therapy*; D012008:Recurrence; D013577:Syndrome
chemical_list: D010404:Penicillin V