title: Moxifloxacin-Induced Visual Hallucinations: A Case Report and Review of the Literature.
abstract: Fluoroquinolones are extensively used to treat a variety of common bacterial infections. Due to their extensive use in clinical practice, increases in neuropsychiatric events have been reported. We discuss the case of a young female who developed visual hallucinations after 2 doses of moxifloxacin. After discontinuation of the moxifloxacin, the patient's symptoms completely resolved. While one other case report exists with moxifloxacin, this case is unique in comparison. Our patient was a young female with no kidney dysfunction, no drug abuse history, absence of polypharmacy, and no previous psychological history that would have put her at an increased risk of drug-induced psychosis. Due to the prevalence of medication-induced hallucinations, it is imperative that clinicians are able to recognize offending medications in an effort to prevent misdiagnosis of a psychiatric illness.
authors.affiliation: 1 Department of Pharmacy and Department of Medicine, Methodist University Hospital, Memphis, TN, USA.|2 College of Pharmacy, University of Tennessee Health Science Center, Memphis, TN, USA.
authors.forename: Emily
authors.initials: E
authors.lastname: Higdon
authors.affiliation: 1 Department of Pharmacy and Department of Medicine, Methodist University Hospital, Memphis, TN, USA.|2 College of Pharmacy, University of Tennessee Health Science Center, Memphis, TN, USA.
authors.forename: Jennifer D
authors.identifier: http://orcid.org/0000-0002-4499-214X
authors.initials: JD
authors.lastname: Twilla
authors.affiliation: 1 Department of Pharmacy and Department of Medicine, Methodist University Hospital, Memphis, TN, USA.|3 College of Medicine, University of Tennessee Health Science Center, Memphis, TN, USA.
authors.forename: Christopher
authors.initials: C
authors.lastname: Sands
mesh_terms: D000900:Anti-Bacterial Agents / Q000009:adverse effects*; D005260:Female; D024841:Fluoroquinolones / Q000009:adverse effects*; D006212:Hallucinations / Q000139:chemically induced* / Q000175:diagnosis*; D006801:Humans; D000077266:Moxifloxacin; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D024841:Fluoroquinolones; D000077266:Moxifloxacin
keywords: fluoroquinolones; hallucinations; moxifloxacin