Acute psychosis after anesthesia: the case for antibiomania.
We report the case of a teenager who developed a postanesthesia acute psychosis (delusions, paranoia, and hallucinations) caused by a reaction to antibiotic therapy (amoxicillin and clarithromycin), so called 'Hoigne's syndrome' or 'antibiomania.' The differential diagnosis and a review of literature are presented. Our patient illustrates the importance of adding antibiomania as part of the differential diagnosis when altered postanesthesia behavior is observed in pediatric patients.
Przybylo
H J
HJ
Northwestern University's Feinberg School of Medicine, Chicago, IL 60614, USA. przybylo@northwestern.edu
Przybylo
Jason H
JH
Todd Davis
A
A
Coté
Charles J
CJ
D000293:Adolescent; D000294:Adolescent Behavior / Q000187:drug effects; D000658:Amoxicillin / Q000009:adverse effects*; D000769:Anesthesia, Inhalation; D000771:Anesthesia, Intravenous; D000900:Anti-Bacterial Agents / Q000009:adverse effects*; D002763:Cholecystectomy; D017291:Clarithromycin / Q000009:adverse effects*; D003702:Delusions / Q000139:chemically induced; D005500:Follow-Up Studies; D006212:Hallucinations / Q000139:chemically induced; D006801:Humans; D008297:Male; D010258:Paranoid Behavior / Q000139:chemically induced; D011183:Postoperative Complications; D011605:Psychoses, Substance-Induced / Q000209:etiology*
D000900:Anti-Bacterial Agents; D000658:Amoxicillin; D017291:Clarithromycin