Evidence map›Paper›PMID 38516474›Full record

ReviewCureus2024

Fluoroquinolones: Neurological Complications and Side Effects in Clinical Practice.

Ahmed I Anwar, Lei Lu, Connor J Plaisance, Charles P Daniel, Chelsi J Flanagan, Danielle M Wenger, David McGregor, Giustino Varrassi, Adam M Kaye, Shahab Ahmadzadeh and 3 more

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
13.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Article
  7. Comprehensive Review of Anesthetic Strategies for Patients With Neurodegenerative Diseases.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Review
  18. Fluoroquinolone-Mediated Tendinopathy and Tendon Rupture.Pharmaceuticals (Basel, Switzerland) · 2025
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 2 countries.

Ahmed I AnwarPsychology, Quinnipiac University, Hamden, USA.
Lei LuNeurology, Medical University of South Carolina, Charleston, USA.
Connor J PlaisanceSchool of Medicine, Louisiana State University Health Sciences Center, Shreveport, USA.
Charles P DanielSchool of Medicine, Louisiana State University Health Sciences Center, Shreveport, USA.
Chelsi J FlanaganSchool of Osteopathic Medicine, University of the Incarnate Word, San Antonio, USA.
Danielle M WengerSchool of Medicine, University of Arizona College of Medicine, Phoenix, USA.
David McGregorAnesthesiology, Louisiana State University Health Sciences Center, Shreveport, USA.
Giustino VarrassiPain Medicine, Paolo Procacci Foundation, Rome, ITA.
Adam M KayePharmacy Practice, Thomas J. Long School of Pharmacy and Health Sciences University of the Pacific, Stockton, USA.
Shahab AhmadzadehAnesthesiology, Louisiana State University Health Sciences Center, Shreveport, USA.
Elyse M CornettAnesthesiology, Louisiana State University Health Sciences Center, Shreveport, USA.
Sahar ShekoohiAnesthesiology, Louisiana State University Health Sciences Center, Shreveport, USA.
Alan D KayeAnesthesiology, Louisiana State University Health Sciences Center, Shreveport, USA.
University of Phoenix · USUniversity of the Incarnate Word · USUniversity of the Pacific · USQuinnipiac University · USFondazione Roma · ITUniversity of Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fluoroquinolones, a popular antibiotic class that inhibits nucleic acid synthesis of bacteria by disrupting the activity of the enzyme's topoisomerase IV and DNA gyrase, are used to treat bacterial infections. However, the widespread use of these drugs has allowed for the development of microbial resistance in recent years. Quinolones also have many clinically relevant side effects, including psychosis, confusion, seizures, headaches, dizziness, and nausea. Common side effects include tendinitis, myopathy, depression, and fatigue. Cardiovascular side effects include increased risk of aortic aneurysm, aortic dissection, and QT interval prolongation. Overall, quinolones can be an effective choice for treating bacterial infections. Still, the side effect profile and decreased efficacy secondary to microbial resistance no longer make the quinolone class an ideal choice for many types of infection. A better understanding of the role of quinolone-mediated or neurological damage, cardiovascular impairment, and musculoskeletal involvement is imperative to determine the risks/benefits for the clinician.

Indexed as

effectsfluoroquinolonesneurologicalneurological systemneurotoxicityquinolones

Identifiers

PMID38516474
PMCPMC10957204
OpenAlexW4391952912

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.