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Transient Psychotic Episode Induced by Helicobacter pylori Triple Therapy Treatment
Mitanshu Shah1, Miral Subhani, Kaleem Rizvon
1Department of Internal Medicine, Nassau University Medical Center, East Meadow, N.Y., USA.
Abstract:
The term 'antibiomania' refers to manic episodes that occur after a patient starts taking antibiotics. We report the case of a 49-year-old male who developed acute psychosis secondary to initiation of triple therapy for Helicobacter pylori eradication. Unlike with proton pump inhibitors, there have been several reported cases of central nervous system side effects and psychiatric consequences due to amoxicillin, however evidence points to clarithromycin as the likely culprit. On average onset of symptoms occurred within 1-5 days of initiating therapy. In all cases, symptoms resolved upon cessation of clarithromycin, mostly within 1-3 days. Unfortunately, the mechanism through which clarithromycin causes neurotoxicity remains unclear. Clinicians should be cognizant of psychiatric side effects secondary to clarithromycin, and discontinuation should be prompt for rapid recovery of mental status.
Insights
Antibiotic-induced psychosis, or antibiomania, can occur with clarithromycin therapy. This case highlights rapid symptom onset and resolution upon drug discontinuation, emphasizing the need for clinical awareness.
Area of Science:
- Neuroscience
- Psychiatry
- Pharmacology
Background:
- Antibiomania describes manic episodes linked to antibiotic use.
- Central nervous system side effects are documented with certain antibiotics like amoxicillin.
- Clarithromycin is increasingly implicated in psychiatric adverse events.
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