Journal
IRISH JOURNAL OF MEDICAL SCIENCE
Volume 180, Issue 1, Pages 285-286Publisher
SPRINGER LONDON LTD
DOI: 10.1007/s11845-010-0597-9
Keywords
Serotonin syndrome; MRSA; Linezolid; Orthopaedic; Citalopram; SSRI; Septic arthritis
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A 67-year-old patient was admitted for incision and drainage of a recurrent methicillin-resistant Staphylococcus aureus (MRSA) hip abscess. Linezolid therapy was initiated postoperatively. Within 48 h the patient developed confusion, agitation, hypertension and acute renal failure. Citalopram was stopped and resolution of symptoms occurred within 48 h of discontinuing the offending agent. The symptoms observed in our patient were consistent with the Sternbach criteria for serotonin syndrome.
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