When a Seemingly Harmless Prescription Turns into Toxicity
Valacyclovir neurotoxicity is commonly seen in the elderly and those with impaired renal function. Differential diagnosis can be challenging as a myriad of medical conditions, including herpes zoster virus associated encephalitis, may present in a similar fashion. We present a case of a 71-year-old...
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Format: | Article |
Language: | English |
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Wiley
2018-01-01
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Series: | Case Reports in Medicine |
Online Access: | http://dx.doi.org/10.1155/2018/9724390 |
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author | Zurab Azmaiparashvili Kevin Bryan Lo Nawal Habib Annie Hsieh |
author_facet | Zurab Azmaiparashvili Kevin Bryan Lo Nawal Habib Annie Hsieh |
author_sort | Zurab Azmaiparashvili |
collection | DOAJ |
description | Valacyclovir neurotoxicity is commonly seen in the elderly and those with impaired renal function. Differential diagnosis can be challenging as a myriad of medical conditions, including herpes zoster virus associated encephalitis, may present in a similar fashion. We present a case of a 71-year-old male who presented with altered mental status in the setting of recent herpes zoster eruption. His condition was attributed to valacyclovir neurotoxicity, and initiation of appropriate supportive therapy was met with complete resolution of symptoms and normalization of cognitive function. |
format | Article |
id | doaj-art-7f29c4cf38fb4bbf88da1d85c2992cb5 |
institution | Kabale University |
issn | 1687-9627 1687-9635 |
language | English |
publishDate | 2018-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Medicine |
spelling | doaj-art-7f29c4cf38fb4bbf88da1d85c2992cb52025-02-03T06:07:50ZengWileyCase Reports in Medicine1687-96271687-96352018-01-01201810.1155/2018/97243909724390When a Seemingly Harmless Prescription Turns into ToxicityZurab Azmaiparashvili0Kevin Bryan Lo1Nawal Habib2Annie Hsieh3Department of Medicine, Albert Einstein Medical Center, Philadelphia, PA, USADepartment of Medicine, Albert Einstein Medical Center, Philadelphia, PA, USADepartment of Medicine, Albert Einstein Medical Center, Philadelphia, PA, USADepartment of Neurology, Albert Einstein Medical Center, Philadelphia, PA, USAValacyclovir neurotoxicity is commonly seen in the elderly and those with impaired renal function. Differential diagnosis can be challenging as a myriad of medical conditions, including herpes zoster virus associated encephalitis, may present in a similar fashion. We present a case of a 71-year-old male who presented with altered mental status in the setting of recent herpes zoster eruption. His condition was attributed to valacyclovir neurotoxicity, and initiation of appropriate supportive therapy was met with complete resolution of symptoms and normalization of cognitive function.http://dx.doi.org/10.1155/2018/9724390 |
spellingShingle | Zurab Azmaiparashvili Kevin Bryan Lo Nawal Habib Annie Hsieh When a Seemingly Harmless Prescription Turns into Toxicity Case Reports in Medicine |
title | When a Seemingly Harmless Prescription Turns into Toxicity |
title_full | When a Seemingly Harmless Prescription Turns into Toxicity |
title_fullStr | When a Seemingly Harmless Prescription Turns into Toxicity |
title_full_unstemmed | When a Seemingly Harmless Prescription Turns into Toxicity |
title_short | When a Seemingly Harmless Prescription Turns into Toxicity |
title_sort | when a seemingly harmless prescription turns into toxicity |
url | http://dx.doi.org/10.1155/2018/9724390 |
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