Cefepime-induced neurotoxicity after flap surgery: a rare case report
نویسندگان
چکیده
Cefepime is a fourth-generation cephalosporin that covers gram-positive bacteria and gram-negative bacteria, such as Pseudomonas. A 48-year-old male patient underwent posterior tibial artery perforator-based fasciocutaneous turnover flap was administered cefepime. After 2 days, the showed neurological symptoms, cognitive decline aphasia. We immediately stopped cefepime changed to ciprofloxacin. In addition, thiamine additional dialysis performed. The symptoms were resolved after tapering hemodialysis. patients undergoing surgery, especially those with impaired renal function, should be carefully considering risk of neurotoxicity.
منابع مشابه
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ژورنال
عنوان ژورنال: Archives of Hand and Microsurgery
سال: 2023
ISSN: ['2586-3290', '2586-3533']
DOI: https://doi.org/10.12790/ahm.22.0057