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Case report
Acute psychosis after anesthesia: the case for antibiomania
H.J. PRZYBYLO MD*†, JASON H. PRZYBYLO BA*, A. TODD DAVIS MD*‡ AND CHARLES J. COTÉ MD*†
  *Northwestern University's Feinberg School of Medicine ,   Department of Pediatric Anesthesiology, Children's Memorial Hospital and   Siragusa Wellness Transplantation Center, General Academic Pediatrics, Children's Memorial Hospital, Chicago, IL, USA
Correspondence to Dr H.J. Przybylo, Department of Pediatric Anesthesiology, No. 19, Children's Memorial Hospital, 2300 Children's Plaza, Chicago, IL 60614, USA (email: przybylo@northwestern.edu).
Copyright 2005 Blackwell Publishing Ltd
KEYWORDS
antibiomania • pediatric • antibiotics • psychosis • postoperative

Summary

AbstractIntroductionCase reportDiscussionReferences

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.


Accepted 19 September 2004

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1460-9592.2004.01525.x About DOI

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