Abstract
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.
MeSH terms
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Adolescent
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Adolescent Behavior / drug effects
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Amoxicillin / adverse effects*
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Anesthesia, Inhalation
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Anesthesia, Intravenous
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Anti-Bacterial Agents / adverse effects*
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Cholecystectomy
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Clarithromycin / adverse effects*
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Delusions / chemically induced
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Follow-Up Studies
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Hallucinations / chemically induced
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Humans
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Male
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Paranoid Behavior / chemically induced
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Postoperative Complications
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Psychoses, Substance-Induced / etiology*
Substances
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Anti-Bacterial Agents
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Amoxicillin
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Clarithromycin