Tacrolimus-associated mania with psychotic symptoms in a child after renal transplant

Natl Med J India. 2018 Sep-Oct;31(5):281-282. doi: 10.4103/0970-258X.261183.

Abstract

Tacrolimus is one of the mainstays for post-transplant immunosuppression. A variety of neuropsychiatric adverse effects have been reported above the levels of its therapeutic use. Manic symptoms associated with its use have been rarely reported. We report possibly the first such case in a child post-renal transplantation and discuss the potential neuro-immunological basis of these symptoms.

Publication types

  • Case Reports

MeSH terms

  • Antipsychotic Agents / therapeutic use
  • Child
  • Cyclosporine / administration & dosage
  • Dose-Response Relationship, Drug
  • Drug Substitution
  • Graft Rejection / immunology
  • Graft Rejection / prevention & control
  • Humans
  • Immunosuppressive Agents / administration & dosage
  • Immunosuppressive Agents / adverse effects*
  • Kidney Failure, Chronic / surgery*
  • Kidney Transplantation / adverse effects*
  • Male
  • Psychoses, Substance-Induced / diagnosis
  • Psychoses, Substance-Induced / drug therapy
  • Psychoses, Substance-Induced / etiology*
  • Tacrolimus / administration & dosage
  • Tacrolimus / adverse effects*
  • Treatment Outcome

Substances

  • Antipsychotic Agents
  • Immunosuppressive Agents
  • Cyclosporine
  • Tacrolimus