Persistent High Fever After Metchloropramide Treatment; Neuroleptic Malignant Syndrome

Authors : Can SEZER, Fatih Cemal TEKİN

Pages : 101-103

Doi:10.33706/jemcr.1112956

View : 25 | Download : 8

Publication Date : 2023-12-27

Article Type : Other Papers

Abstract :Introduction: Neuroleptic Malignant Syndromeinsert ignore into journalissuearticles values(NMS); is a state neurotransmitter levels fluctuate subsequent to administration of neuroleptic agents. Etiology of NMS is unclear. It’s a neurological emergency includes symptoms like altered mental status, rigidity, fever and dysautonomy. Our aim in here is to mention the side effects of metochlopramide, which is commonly used in Emergency Departmentsinsert ignore into journalissuearticles values(ED);. In our case, subsequent to intravenous admission of metochlopramide, patients clinic worsened with NMS symptoms and this was quite unexpected and unwanted for ED doctors. By this case report it is wanted to raise awareness against, side effects of metoclopramide and NMS. Case Report: Subsequent to intravenous administration of single dose metoclopramide to relieve abdominal pain into 21 years old male with no history of chronical diseases, symptoms of fever, muscle rigidity, confusion and fluctuating blood pressure levels quickly emerged along with leukocytosis and high levels of Creatine Kinase. ED Doctors suspected NMS. Futher laboratory and imaging stuides has excluded other central nervous system pathologies and infections. Eventually, patients clinic got better with symptomatic theraphy and he was discharged fully recovered. Conclusion: NMS due to metoclopramide is quite rare, but usage of therapies includes Metoclopramid at ED’s are quite often. Subsequent to administration of this drug, if patients clinical state worsens with fever, confusion and muscle rigidity, phycisians should keep NMS in mind.
Keywords : Advers reactions, metoclopramide, Neuroleptic Malignant Syndrome