Ropivacaine: An Unusual Cause of Neuroleptic Malignant-Like Syndrome

Ropivacaine is commonly used for post-operative pain management. We describe a case of neuroleptic malignant-like syndrome in a woman administered ropivacaine delivered using a drug infusion balloon. The presenting symptoms were confusion, agitation and fever. Blood analysis showed elevated C-reacti...

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Autores principales:	Miguel Santos, Sheila Arroja, Ana Luisa Antunes, Jose Mariz, Jorge Teixeira
Formato:	article
Lenguaje:	EN
Publicado:	SMC MEDIA SRL 2021
Materias:	ropivacaine intoxication neuroleptic malignant syndrome secondary effects Medicine R
Acceso en línea:	https://doaj.org/article/3382db5df67b4f2b8a235a4233985b26
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spelling	oai:doaj.org-article:3382db5df67b4f2b8a235a4233985b262021-11-09T11:22:41ZRopivacaine: An Unusual Cause of Neuroleptic Malignant-Like Syndrome2284-259410.12890/2021_002971https://doaj.org/article/3382db5df67b4f2b8a235a4233985b262021-11-01T00:00:00Zhttps://www.ejcrim.com/index.php/EJCRIM/article/view/2971https://doaj.org/toc/2284-2594Ropivacaine is commonly used for post-operative pain management. We describe a case of neuroleptic malignant-like syndrome in a woman administered ropivacaine delivered using a drug infusion balloon. The presenting symptoms were confusion, agitation and fever. Blood analysis showed elevated C-reactive protein, leucocytosis and increased creatine phosphokinase. As intoxication was suspected, ropivacaine was suspended and the patient gradually improved. Possible leakage of ropivacaine into the intrathecal space may have resulted in central nervous system toxicity.Miguel SantosSheila ArrojaAna Luisa AntunesJose MarizJorge TeixeiraSMC MEDIA SRLarticleropivacaineintoxicationneuroleptic malignant syndromesecondary effectsMedicineRENEuropean Journal of Case Reports in Internal Medicine (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	ropivacaine intoxication neuroleptic malignant syndrome secondary effects Medicine R
spellingShingle	ropivacaine intoxication neuroleptic malignant syndrome secondary effects Medicine R Miguel Santos Sheila Arroja Ana Luisa Antunes Jose Mariz Jorge Teixeira Ropivacaine: An Unusual Cause of Neuroleptic Malignant-Like Syndrome
description	Ropivacaine is commonly used for post-operative pain management. We describe a case of neuroleptic malignant-like syndrome in a woman administered ropivacaine delivered using a drug infusion balloon. The presenting symptoms were confusion, agitation and fever. Blood analysis showed elevated C-reactive protein, leucocytosis and increased creatine phosphokinase. As intoxication was suspected, ropivacaine was suspended and the patient gradually improved. Possible leakage of ropivacaine into the intrathecal space may have resulted in central nervous system toxicity.
format	article
author	Miguel Santos Sheila Arroja Ana Luisa Antunes Jose Mariz Jorge Teixeira
author_facet	Miguel Santos Sheila Arroja Ana Luisa Antunes Jose Mariz Jorge Teixeira
author_sort	Miguel Santos
title	Ropivacaine: An Unusual Cause of Neuroleptic Malignant-Like Syndrome
title_short	Ropivacaine: An Unusual Cause of Neuroleptic Malignant-Like Syndrome
title_full	Ropivacaine: An Unusual Cause of Neuroleptic Malignant-Like Syndrome
title_fullStr	Ropivacaine: An Unusual Cause of Neuroleptic Malignant-Like Syndrome
title_full_unstemmed	Ropivacaine: An Unusual Cause of Neuroleptic Malignant-Like Syndrome
title_sort	ropivacaine: an unusual cause of neuroleptic malignant-like syndrome
publisher	SMC MEDIA SRL
publishDate	2021
url	https://doaj.org/article/3382db5df67b4f2b8a235a4233985b26
work_keys_str_mv	AT miguelsantos ropivacaineanunusualcauseofneurolepticmalignantlikesyndrome AT sheilaarroja ropivacaineanunusualcauseofneurolepticmalignantlikesyndrome AT analuisaantunes ropivacaineanunusualcauseofneurolepticmalignantlikesyndrome AT josemariz ropivacaineanunusualcauseofneurolepticmalignantlikesyndrome AT jorgeteixeira ropivacaineanunusualcauseofneurolepticmalignantlikesyndrome
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Ropivacaine: An Unusual Cause of Neuroleptic Malignant-Like Syndrome

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