title: Medical Histories: A Case Report of Pharmacovigilance in Supporting Dentists and Participation in a Drug-Safety Program.
abstract: BACKGROUND
  Antibiotics are a class of medications widely used by dentists. The class of agents has a number of listed side effects. This case report details an unusual adverse effect of tetracycline-induced psychosis recognized due to the diligence of a practitioner. To our knowledge, this is the first reported case by a dentist.
  
  
  METHODS
  A 44-year-old patient was started on tetracycline therapy for prophylaxis before a periodontal procedure. The patient began having paranoid and psychotic experiences. The patient sought psychiatric medical care and was diagnosed with tetracycline-induced psychosis. He was treated with an antipsychotic drug, which resolved his symptoms.
  
  
  CONCLUSIONS
  Dental medical histories are a resource that is underused and can often be of value in the continual assessment of drug safety and pharmacovigilance.
authors.affiliation: Private practice, West Hartford and Glastonbury, CT.
authors.forename: Edward H
authors.initials: EH
authors.lastname: Karl
authors.affiliation: PEARL (Practitioners Engaged in Applied Research and Learning) Practice-Based Research Network, New York University, College of Dentistry, New York, NY.
authors.forename: Frederick A
authors.initials: FA
authors.lastname: Curro
keywords: Drug toxicity; pharmacovigilance; psychotic disorders; safety; tetracycline