Serotonin syndrome: an unusual cause of acute confusion and fever in the elderly
Misselbrook, G.P.; Shekhar, R.
Acute Medicine 10(4): 206-208
2011
ISSN/ISBN: 1747-4892 PMID: 22111101 Document Number: 14864
Delirium is a common cause for hospital admission among elderly patients. Although infection is the most common explanation, there is a large number of other potential causes. We present a case of acute delirium due to serotonin syndrome, precipitated by concomitant prescription of clarithromycin and fluoxetine. The symptoms improved following treatment with a benzodiazepine and discontinuation of the fluoxetine. The diagnosis and management of serotonin syndrome is discussed.
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