Colistin induced neurotoxicity with bulbar palsy. A case report and literature review

Colistin, a polymyxin antibiotic, is increasingly used to manage infections caused by multidrug-resistant gram-negative bacteria. This case report documents the occurrence of colistin-induced neurotoxicity manifesting as bulbar palsy in a 38-year-old male with a complex medical history. The patient,...

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Main Authors: Mohamed Kamal Mansour, Ali Mohamed, Raju Raghunathan
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:IDCases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214250924001926
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author Mohamed Kamal Mansour
Ali Mohamed
Raju Raghunathan
author_facet Mohamed Kamal Mansour
Ali Mohamed
Raju Raghunathan
author_sort Mohamed Kamal Mansour
collection DOAJ
description Colistin, a polymyxin antibiotic, is increasingly used to manage infections caused by multidrug-resistant gram-negative bacteria. This case report documents the occurrence of colistin-induced neurotoxicity manifesting as bulbar palsy in a 38-year-old male with a complex medical history. The patient, presenting with septic shock secondary to a diabetic foot ulcer, was administered colistin and meropenem, leading to a progressive onset of neurological symptoms. The timely discontinuation of colistin resulted in the complete resolution of neurotoxicity.
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spelling doaj-art-8e5bf972de78485e938fdc4e56ced68f2025-08-20T02:20:59ZengElsevierIDCases2214-25092024-01-0138e0211610.1016/j.idcr.2024.e02116Colistin induced neurotoxicity with bulbar palsy. A case report and literature reviewMohamed Kamal Mansour0Ali Mohamed1Raju Raghunathan2Corresponding author.; Hospital Medicine Department, Integrated Hospital Care Institute, Cleveland Clinic Abu-Dhabi, PO BOX: 112412, Abu-Dhabi, United Arab EmiratesHospital Medicine Department, Integrated Hospital Care Institute, Cleveland Clinic Abu-Dhabi, PO BOX: 112412, Abu-Dhabi, United Arab EmiratesHospital Medicine Department, Integrated Hospital Care Institute, Cleveland Clinic Abu-Dhabi, PO BOX: 112412, Abu-Dhabi, United Arab EmiratesColistin, a polymyxin antibiotic, is increasingly used to manage infections caused by multidrug-resistant gram-negative bacteria. This case report documents the occurrence of colistin-induced neurotoxicity manifesting as bulbar palsy in a 38-year-old male with a complex medical history. The patient, presenting with septic shock secondary to a diabetic foot ulcer, was administered colistin and meropenem, leading to a progressive onset of neurological symptoms. The timely discontinuation of colistin resulted in the complete resolution of neurotoxicity.http://www.sciencedirect.com/science/article/pii/S2214250924001926ColistinNeurotoxicityMulti drug resistant organisms (MDR)
spellingShingle Mohamed Kamal Mansour
Ali Mohamed
Raju Raghunathan
Colistin induced neurotoxicity with bulbar palsy. A case report and literature review
IDCases
Colistin
Neurotoxicity
Multi drug resistant organisms (MDR)
title Colistin induced neurotoxicity with bulbar palsy. A case report and literature review
title_full Colistin induced neurotoxicity with bulbar palsy. A case report and literature review
title_fullStr Colistin induced neurotoxicity with bulbar palsy. A case report and literature review
title_full_unstemmed Colistin induced neurotoxicity with bulbar palsy. A case report and literature review
title_short Colistin induced neurotoxicity with bulbar palsy. A case report and literature review
title_sort colistin induced neurotoxicity with bulbar palsy a case report and literature review
topic Colistin
Neurotoxicity
Multi drug resistant organisms (MDR)
url http://www.sciencedirect.com/science/article/pii/S2214250924001926
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AT rajuraghunathan colistininducedneurotoxicitywithbulbarpalsyacasereportandliteraturereview