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Recurrent aseptic meningitis following non- steroidal anti-inflammatory drugs--a reminder
1Infection and Immunodeficiency Unit, Kings Cross Hospital, Tayside University Hospitals NHS Trust, Dundee DD3 8EA, UK.
Abstract:
Non-steroidal anti-inflammatory drugs (NSAIDs) are rarely associated with side-effects affecting the central nervous system. A case of NSAID-induced recurrent aseptic meningitis is presented. Seven episodes of aseptic meningitis were documented in the patient's life-time (up to the age of 30). General practitioners' records available for the latest four episodes showed that a NSAID (naproxen, piroxicam or diclofenac) was prescribed in the month prior to admission on each occasion. The patient was symptom free for a 3-year period during which no NSAID was prescribed. Clinicians should always elicit a careful drug history (including over-the-counter medications) in patients with aseptic meningitis and be aware of this unusual side-effect of NSAIDs.
Insights
Non-steroidal anti-inflammatory drugs (NSAIDs) can rarely cause central nervous system side effects. This case highlights recurrent aseptic meningitis linked to NSAID use, emphasizing the need for thorough drug history in patients.
Area of Science:
- Neurology
- Pharmacology
Background:
- Central nervous system (CNS) side effects from non-steroidal anti-inflammatory drugs (NSAIDs) are uncommon.
- Aseptic meningitis is a rare but serious potential adverse drug reaction.
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