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Elevated Voriconazole Level Associated With Hallucinations and Suicidal Ideation: A Case Report
Jeffrey W Jansen1, Sumon K Sen2, Ryan P Moenster2,3
1PGY2 Infectious Diseases Pharmacy Resident and.
Abstract:
Voriconazole, a broad-spectrum antifungal, has been associated with visual and auditory hallucinations. We report the case of patient being treated with voriconazole for pulmonary aspergillosis who developed visual hallucinations and new suicidal ideation with plan. Voriconazole troughs were supratherapeutic (9.0 mcg/mL) and the patient was positive for the CYP2C19*1/*2 allele.
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