Possible neuropsychiatric reaction to high-dose oseltamivir during acute 2009 H1N1 influenza A infection

Clin Infect Dis. 2010 Apr 1;50(7):e47-9. doi: 10.1086/651166.

Abstract

The safety of high-dose oseltamivir during treatment of 2009 H1N1 influenza A infection for critically ill patients is unknown. Here we report on a case patient with severe, delayed-onset neuropsychiatric symptoms after administration of high-dose oseltamivir. Clinicians should be vigilant to the possible increased risk of complications associated with high-dose oseltamivir therapy for 2009 H1N1 influenza A infection.

Publication types

  • Case Reports
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Antiviral Agents / administration & dosage
  • Antiviral Agents / adverse effects*
  • Antiviral Agents / blood
  • Confusion / chemically induced
  • Hallucinations / chemically induced
  • Humans
  • Influenza A Virus, H1N1 Subtype*
  • Influenza, Human / complications
  • Influenza, Human / drug therapy*
  • Influenza, Human / virology
  • Leukemia, Promyelocytic, Acute / complications
  • Leukemia, Promyelocytic, Acute / therapy
  • Male
  • Neurotoxicity Syndromes / etiology*
  • Oseltamivir / administration & dosage
  • Oseltamivir / adverse effects*
  • Oseltamivir / blood
  • Transplantation, Autologous

Substances

  • Antiviral Agents
  • Oseltamivir