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CASE REPORT
Ann Clin Neurophysiol. 2018; 20(2): 97-100.
Published online July 31, 2018.
doi: https://doi.org/10.14253/acn.2018.20.2.97
Cefepime-induced nonconvulsive status epilepticus in a hemodialysis patient
Yoo Jin Lee1, Bong Soo Park1, Kang Min Park2, Il Hwan Kim1, Jin Han Park1, Si Hyung Park1, and Yang Wook Kim1
1Department of Internal Medicine, Inje University Haeundae Paik Hospital, Busan, Korea
2Department of Neurology, Inje University Haeundae Paik Hospital, Busan, Korea
Corresponding Author: Bong Soo Park ,Tel: +82-51-797-3320, Fax: +82-51-797-3282, Email: parkbong31@naver.com
Received April 24, 2018   Revised: June 27, 2018    Accepted June 28, 2018
ABSTRACT
Nonconvulsive status epilepticus (NCSE) is an unusual complication in patients treated with cefepime. An 82-year-old woman on maintenance hemodialysis was given cefepime for pneumonia. Her level of consciousness decreased since the administration of cefepime, and she was diagnosed with NCSE based on electroencephalography (EEG) findings. After discontinuation of cefepime, improvement was seen both in the level of consciousness and EEG findings. Clinicians should be aware of cefepime-induced NCSE, particularly in patients with renal failure.
Key words: Cefepime; Status epilepticus; Hemodialysis
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