Abstract

PADILLA GARRIDO, Juan Jacobo; TEJADA MARIN, Jorge Wilmar; VELEZ LONDONO, Juan Diego  and  GARCIA GOEZ, José Fernando. Amoxicillin as possible cause of aseptic meningitis: a case report and literature review. Infect. [online]. 2017, vol.21, n.1, pp.65-68. ISSN 0123-9392.  https://doi.org/10.22354/in.v21i1.644.

We present the case of a 71 year-old patient who developed headaches on 2 related occasions upon exposure to amoxicillin. Lumbar puncture revealed lymphocytic inflammation with negative cultures, so the focus was aseptic meningitis in the clinical context of possible drug-induced events.

This diagnosis was made by exclusion, and the findings in terms of cerebrospinal fluid were variable; symptoms and signs of meningeal irritation were less prevalent. It is important to consider this differential diagnosis when other etiologies have been ruled out. Stopping the suspected medication and monitoring the patient closely can prevent unnecessary diagnostic procedures and possibly harmful treatments. Since amoxicillin is a commonly used drug for multiple indications, it is important to keep this collateral effect in mind.

Keywords : Aseptic meningitis; Meningitis; Antibiotics; Amoxicillin.

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