Acquired encephalopathy associated with carnitine deficiency after cefditoren pivoxil administration

作者：Kim Heyun; Chu Kon^*; Jung Keun Hwa; Lee Soon Tae; Kim Jeong Min; Lee Sang Kun

来源：Neurological Sciences, 2012, 33(6): 1393-1396.

DOI：10.1007/s10072-012-0939-7

• Encephalopathy
• Carnitine deficiency
• Diffusion magnetic resonance imaging

We describe a 47-year-old woman who presented with palinopsia and subacute altered mental change after cefditoren pivoxil administration. The patient showed characteristic clinical manifestations of hypocarnitinemia, which affected her state of consciousness and she had radiologic findings that revealed metabolic encephalopathy with cytotoxic edema in the right occipital area and intracranial hemorrhages in right occipital and left frontal areas. Follow-up imaging after oral carnitine supplementation demonstrated complete resolution of the bilateral frontal subcortical T2 high-intensity lesions. Carnitine deficiency due to cefditoren pivoxil treatment may present as metabolic encephalopathy in adults. This possibility should be considered with the differential diagnosis of encephalopathies, and carnitine levels should be checked in patients treated with cefditoren pivoxil.

• 出版日期2012-12