• Clin Med (Lond) · Oct 2016

    Case Reports

    Lesson of the month 2: An easily missed cause of confusion.

    • Ben Oliveira, Sangita Chaterjee, and Aine Burns.
    • Royal Free Hospital, London, UK benoliveira@nhs.net.
    • Clin Med (Lond). 2016 Oct 1; 16 (5): 491493491-493.

    AbstractWe describe the case of an 85-year-old woman who developed acute confusion, acute kidney injury and temperature spikes while on extended courses of beta-lactams for osteomyelitis. The cause of her deterioration was felt to be due to sepsis when in fact it was as a result of toxicity from antibiotics. This was demonstrated by a rapid resolution in her condition following haemodialysis. We also performed a literature review to appraise the neuro and nephrotoxicity of various antibiotics and how best to manage toxicity when it occurs.© Royal College of Physicians 2016. All rights reserved.

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