Voriconazole-induced psychosis in rhino-orbital invasive aspergillosis.
BMJ Case Rep 2023;
16:e254790. [PMID:
37821144 PMCID:
PMC10583028 DOI:
10.1136/bcr-2023-254790]
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Abstract
Aspergillosis is a challenging fungal infection. Voriconazole is an antifungal drug belonging to the triazole group, commonly used for treating invasive aspergillosis, Cryptococcus neoformans and candida infections. We present a case of a man in his late 70s diagnosed with rhino-orbital invasive aspergillosis who developed voriconazole-induced psychosis as an idiosyncratic, adverse drug reaction (ADR); however, he responded to the cessation of intravenous voriconazole and, after starting on an oral antipsychotic, haloperidol. Clinicians need to be cognizant of this rare, idiosyncratic and iatrogenic ADR to voriconazole.
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