Presentation
Presentation on theme: "Hoigne syndrome: a report of 3 cases Auditory hallucination"— Presentation transcript: 1 Hoigne syndrome: a report of 3 cases Auditory hallucination Barbarroja-Escudero J, Sanchez-Gonzalez MJ, Antolin-Amerigo D, Rodriguez-Rodriguez [slideplayer.com]
Neurosyphilis presenting with dementia, chronic chorioretinitis and adverse reactions to treatment: a case report. Cases J 2009;2:8334. [docksci.com]
Here is, the case of a 52 year old chronic hemoadialysis patient that was presented with a very rare side effect due to clarithromycin therapy prescribed for pneumonia. Cite this article as: Sarışık FN, Ülgen C, Altunören O, Erken E, Güngör Ö. [turkjnephrol.org]
Rybakowski, Department of Adult Psychiatry, University of Medical Sciences, Pozna, Poland Search for more papers by this author First published: 1996/1997 Citations: 10 Abstract A review of Hoigne's syndrome (HS) is presented, and 47 cases of putative [onlinelibrary.wiley.com]
A 56-year-old woman sought attention because of an erythematous-infiltrative slowly progressing lesion of the medium dorsal third of the right forearm present for the last four months. [ncbi.nlm.nih.gov]
Entire Body System
- Swelling
Immediately after the second dose the patient developed mental confusion, visual and auditory hallucinations, perceived changes of body shape, swelling of the tongue and a fear of impending death. [pesquisa.bvsalud.org]
The lesion is progressing to erythema, swelling and tender induration with central necrosis. Finally necrotic phase comes 5 d to 2 wk. [wjgnet.com]
- Pain
Initial phase: Because of severe pain, conservative pain control with analgesics and dressings is usually recommended. And differential diagnosis is most important in the initial phase. [wjgnet.com]
Introduction: Palliative care providers are increasingly using lidocaine infusions for refractory cancer pain. [x-mol.com]
Before injecting, one should always aspirate and look for blood; one should immediately stop if the patient complains of pain on injecting. [japi.org]
She was still experiencing pain and received 2 more injections, 1 subcutaneously and 1 periosteal, totaling 18 mL of lidocaine. The total lidocaine dose that she received was 360 mg or 5 mg per kilogram body weight. [docksci.com]
- Fatigue
Patients may experience milder symptoms such as anxiety, fatigue, or abnormal dreams for up to a week after the initial event. Patients generally do well once the acute phase has subsided. Trevonne M. [docksci.com]
Eyes
- Diplopia
Method Anxiety Diplopia Visual hallucination Auditory hallucination Results Serum IgE specific and cutaneous tests for penicillin G, penicillin V, amoxicillin, ampicillin, and cefaclor were negative. [slideplayer.com]
Psychiatrical
- Auditory Hallucination
Presentation on theme: "Hoigne syndrome: a report of 3 cases Auditory hallucination"— Presentation transcript: 1 Hoigne syndrome: a report of 3 cases Auditory hallucination Barbarroja-Escudero J, Sanchez-Gonzalez MJ, Antolin-Amerigo D, Rodriguez-Rodriguez [slideplayer.com]
Immediately after the second dose the patient developed mental confusion, visual and auditory hallucinations, perceived changes of body shape, swelling of the tongue and a fear of impending death. [pesquisa.bvsalud.org]
hallucinations, panic-like anxiety including fear of death as well as alterations of consciousness and seizures. [pubmed.ncbi.nlm.nih.gov]
- Fear
The patients report visual and acoustic sensations (noises, veiled vision, figure vision, etc.), confusion, restlessness and fear of death. Normally no circulatory events occur. [second.wiki]
Immediately after the second dose the patient developed mental confusion, visual and auditory hallucinations, perceived changes of body shape, swelling of the tongue and a fear of impending death. [pesquisa.bvsalud.org]
[…] neuropsychiatric alterations including severe psychomotor agitation with confusion, sensations of disintegration, depersonalization, and derealization, perceived changes of body shape, visual and auditory hallucinations, panic-like anxiety including fear [pubmed.ncbi.nlm.nih.gov]
- Depersonalization
[…] reports were for procaine penicillin being injected intramuscularly. (2) The patient may develop (from 0 to 48 hours after the injection): (2a) seizures (2b) transient psychosis with hallucinations (2c) anxiety, panic or phobia (2d) mental confusion (2e) depersonalization [medicalalgorithms.com]
This disorder is characterized predominantly by neuropsychiatric alterations including severe psychomotor agitation with confusion, sensations of disintegration, depersonalization, and derealization, perceived changes of body shape, visual and auditory [pubmed.ncbi.nlm.nih.gov]
- Psychiatric Symptoms
This is an adverse reaction that presents with psychiatric symptoms, does not represent an overdose of local anesthetics, and has received little attention in the emergency medicine literature. [docksci.com]
HS is a sort of acute pseudoallergic reaction having psychiatric symptoms, disturbances of perceptions and intense anxiety as main clinical features, occurring with the administration, especially infusion, of a series of drugs, varying from anaesthetics [ncbi.nlm.nih.gov]
- Anxiety Disorder
The risk factors and causal relationships among repeated injection of procaine penicillin, HS, and anxiety disorders, particularly panic disorder, require further investigation. Depression and Anxiety 4:139–143, 1996/1997.© 1997 Wiley-Liss, Inc. [onlinelibrary.wiley.com]
A 22-year-old woman with peptic ulcer disease and anxiety disorder presented to the hematology clinic for a bone marrow biopsy to confirm a diagnosis of immune thrombocytopenic purpura. She had no anxiety symptoms when the procedure started. [docksci.com]
Neurologic
- Confusion
The patient may experience anxiety, dizziness, insomnia, nightmares, confusion, hallucination, and psychosis. These neuropsychiatric findings are called Hoigne syndrome. [turkjnephrol.org]
The first reports were for procaine penicillin being injected intramuscularly. (2) The patient may develop (from 0 to 48 hours after the injection): (2a) seizures (2b) transient psychosis with hallucinations (2c) anxiety, panic or phobia (2d) mental confusion [medicalalgorithms.com]
The patients report visual and acoustic sensations (noises, veiled vision, figure vision, etc.), confusion, restlessness and fear of death. Normally no circulatory events occur. [second.wiki]
Immediately after the second dose the patient developed mental confusion, visual and auditory hallucinations, perceived changes of body shape, swelling of the tongue and a fear of impending death. [pesquisa.bvsalud.org]
To add to the confusion, the brand name often only identified the penicillin G benzathine, while the procaine content was only represented by initials. [jamanetwork.com]
- Agitation
Rapid Response: Antibiotic induced psychosis or Hoigné’s syndrome Bell et al. report on a 55 year old woman who suffered an acute onset of agitation and psychosis in the context of exposure to a combination of amoxicillin and clavulanate. [bmj.com]
This disorder is characterized predominantly by neuropsychiatric alterations including severe psychomotor agitation with confusion, sensations of disintegration, depersonalization, and derealization, perceived changes of body shape, visual and auditory [pubmed.ncbi.nlm.nih.gov]
She also reported exaggerating anxiety and psychomotor agitation. We provided laboratory tests including thyroid levels and toxicology, electrocardiogram together with neurological and psychiatric evaluation, all resulting within normal limits. [ncbi.nlm.nih.gov]
- Dizziness
The patient may experience anxiety, dizziness, insomnia, nightmares, confusion, hallucination, and psychosis. These neuropsychiatric findings are called Hoigne syndrome. [turkjnephrol.org]
The patient may experience anxiety, dizziness, insomnia, nightmares, confusion, hallucination,and psychosis. These neuropsychiatric findings are called Hoigne syndrome. [acarindex.com]
Treatment
Hoigne Syndrome due to Clarithromycin Treatment in a Hemodialysis Patient. [acarindex.com]
SIR: Psychotic symptoms are a recognized complication of treatment with procaine penicillin; classic features of anxiety/panic and hallucinations have been termed Hoigne's syndrome.1 Psychosis following treatment with penicillin alone appears comparatively [neuro.psychiatryonline.org]
Lidocaine is also used as premedication for rapid sequence intubation, treatment of dyspepsia, and treatment of dysrhythmias. [docksci.com]
Nutt; Cowen, Cowen; Batts, Batts; Smith, Smith; Green, Green Electrophysiological effects of cocaine on central monoaminergic neurons Pitts, Pitts; Marwah, Marwah Sensitization and kindling perspectives for the course of affective illness: Toward a new treatment [deepdyve.com]
The dramatic and unexpected manifestation of this condition calls for an immediate diagnosis to proceed with the appropriate treatment. (AJDC 1985;139:335-337) Full Text [jamanetwork.com]
Prognosis
Usually, the withdrawal of the offending drug leads to the rapid attenuation of symptoms, with excellent prognosis [1,3,5]. [ncbi.nlm.nih.gov]
Etiology
Pathogenesis and etiology Pathogenesis of NS is not clear but a vascular origin is the most reasonable hypothesis. Acute vasospasm, inflammation of arteries and thromboembolic occlusion of arteriole are the key mechanisms[12]. [wjgnet.com]
Epidemiology
The epidemiology of childhood cardiomyopathy in Australia. N Engl J Med. 2003; 348(17):1639-46. doi: 10.1056/ NEJMoa021737 [ Links ] 9. Kovacevic-Preradovic T, Jenni R, Oechslin EN, Noll G, Seifert B, Attenhofer Jost CH. [scielo.edu.uy]
B. (1974) The epidemiology of drug usage in metropolitan Lagos. In The Use and Abuse of Drugs and Chemicals in Tropical Africa. Proceedings of the 1973 Annual Scientific Conference of the East African Research Council (eds Bagshore, A. [cambridge.org]
Pathophysiology
[…] ethanol during multiple intoxication and withdrawal episodes in the rat: Evidence of potentiation Clemmensen, Clemmensen; Hemmingsen, Hemmingsen Kindling of neuroanatomic pathways during recurrent focal penicillin seizures Collins, Collins Is there a pathophysiological [deepdyve.com]
The pathophysiology of Hoigne syndrome is not known. Initially, it was speculated that local anesthetic microcrystals formed causing microemboli to the brain and lungs [3]. [docksci.com]
Prevention
Step-by-step therapy as in anaphylactic shock to prevent circulatory destabilization. After initially dramatic symptoms, however, the clinical picture recedes completely within 15-30 minutes. [altmeyers.org]
[…] for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC). [scielo.edu.uy]
Although still rare, this disastrous complication can be prevented by simple precautions. [japi.org]
Prevention Confirmation to extra-vascular leakage of the drugs is necessary to perform injection after having aspirated with the syringe[2]. [wjgnet.com]