Moxifloxacin-Induced Visual Hallucinations: A Case Report and Review of the Literature. (June 2017)

• Record Type: Journal Article
• Authors: Higdon, Emily; Twilla, Jennifer D.; Sands, Christopher
• Other Names: Millares-Sipin Catherine A. guest-editor.
• Is Part Of: Journal of pharmacy practice. Volume 30:Number 3(2017:Jun.)
• Page Start: 375
• Page End: 377
• Publication Date: 2017-06
• Subjects: fluoroquinolones -- moxifloxacin -- hallucinations; Pharmacy -- Periodicals; Pharmacology -- Periodicals; 615.1
• DOI: 10.1177/0897190016637987
• Languages: English
• ISSNs: 0897-1900

Abstract

Fluoroquinolones are extensively used to treat a variety of common bacterial infections. Due to their extensive use in clinical practice, increases in neuropsychiatric events have been reported. We discuss the case of a young female who developed visual hallucinations after 2 doses of moxifloxacin. After discontinuation of the moxifloxacin, the patient's symptoms completely resolved. While one other case report exists with moxifloxacin, this case is unique in comparison. Our patient was a young female with no kidney dysfunction, no drug abuse history, absence of polypharmacy, and no previous psychological history that would have put her at an increased risk of drug-induced psychosis. Due to the prevalence of medication-induced hallucinations, it is imperative that clinicians are able to recognize offending medications in an effort to prevent misdiagnosis of a psychiatric illness.