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Manejo de la agitación por encefalopatía por amoxicilina: reporte de un caso

Rafet Yarimoglu¹, Saliha Yarimoglu²

¹Department of Anesthesiology and Reanimation, Faculty of Medicine, Karamanoglu Mehmetbey University, Karaman, Turkey. drrafety@gmail.com.

Acta neurologica Belgica

|February 9, 2026

Abstract:

Neurological or psychiatric side-effects can be seen with antimicrobial medications. A 66-year-old male patient with no known disease was brought to the emergency room due to a speech disorder and aggressive and unconscious behaviours following an initial dose of amoxicillin (1 gram orally). For treatment of the agitation without suppressing breathing, the patient was sedated with dexmedetomidine. After approximately 30 h of intensive care follow-up, the patient was discharged with complete recovery. This case emphasizes the importance of considering the effects of antibiotics in the differential diagnosis of delirium or acute psychosis cases.

Palabras clave:

Amoxicilina Dexmedetomidina Encefalopatía Cuidados intensivos Sedantes

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