title: Ciprofloxacin-associated choreoathetosis in a haemodialysis patient.
abstract: This report describes a case of drug-associated choreoathetosis in a patient receiving ciprofloxacin. A 72-year-old haemodialysis patient presented with a 4-day history of progressive weakness, restlessness and involuntary movements of all limbs. He had been prescribed ciprofloxacin 500 mg twice daily for a lower respiratory tract infection 7 days previously. He had generalised choreoathetosis affecting both upper and lower limbs. The temporal relationship with drug exposure and a dose which was on the upper limit for his renal impairment implicated ciprofloxacin as the culprit. His symptoms completely resolved within 1 week of drug withdrawal and never recurred subsequently.
authors.affiliation: Graduate Entry Medical School, University of Limerick, Limerick, Ireland. drahadabdalla@gmail.com
authors.forename: Ahad
authors.initials: A
authors.lastname: Abdalla
authors.forename: Shazrul
authors.initials: S
authors.lastname: Ramly
authors.forename: Peter
authors.initials: P
authors.lastname: Boers
authors.forename: Liam
authors.initials: L
authors.lastname: Casserly
mesh_terms: D000368:Aged; D002939:Ciprofloxacin / Q000009:adverse effects*; D003937:Diagnosis, Differential; D020820:Dyskinesias / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D008297:Male; D009128:Muscle Spasticity / Q000139:chemically induced* / Q000175:diagnosis / Q000188:drug therapy; D006435:Renal Dialysis; D012141:Respiratory Tract Infections / Q000188:drug therapy*
chemical_list: D002939:Ciprofloxacin