Quinolone-Induced Painful Peripheral Neuropathy: A Case Report and Literature Review.
Leonel J F EstofanStanislav NaydinGediminas GliebusPublished in: Journal of investigative medicine high impact case reports (2018)
We present a case report of a 20-year-old male with diabetes mellitus type 1, who developed severe painful peripheral neuropathy while on the second of a 10-day course with levofloxacin for the treatment of epididymitis. The intensity of the pain rapidly reached scores of 10/10 in a numeric scale 0/10, and the patient was transferred to an inpatient pain unit where he was treated aggressively with minimal improvement. A skin biopsy revealed small fiber neuropathy. Then the patient was treated with intravenous immunoglobulin, which improved the pain. Now the patient is on outpatient intravenous immunoglobulin infusions bimonthly and making a slow recovery.
Keyphrases
- chronic pain
- case report
- pain management
- neuropathic pain
- high dose
- palliative care
- mental health
- type diabetes
- early onset
- metabolic syndrome
- low dose
- high glucose
- spinal cord injury
- adipose tissue
- skeletal muscle
- soft tissue
- endothelial cells
- oxidative stress
- newly diagnosed
- combination therapy
- stress induced
- acute care