Evidence map›Paper›PMID 40028429›Full record

ArticleCureus2025

Beyond Infection: A Case of Doxycycline-Induced Mania and Prolonged Neuropsychiatric Disturbance.

Enoch Chi Ngai Lim, Nga Chong Lisa Cheng, Chi Eung Danforn Lim

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

3 authors.

Enoch Chi Ngai LimResearch and Development, Specialist Medical Services Group, Earlwood, AUS.
Nga Chong Lisa ChengResearch and Development, Specialist Medical Services Group, Earlwood, AUS.
Chi Eung Danforn LimResearch and Development, Specialist Medical Services Group, Earlwood, AUS.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Doxycycline is commonly used in respiratory medicine to treat bacterial lower respiratory tract infections and is also a frequent choice in dermatology for various skin conditions. However, neuropsychiatric adverse reactions to doxycycline are rarely documented in the literature. Even less frequently reported is the persistence of such reactions for up to six weeks after discontinuing a 100 mg doxycycline tablet. We present a rare case of doxycycline-induced mania and psychosis in a patient who had taken the antibiotic for only three days, yet experienced severe neuropsychiatric symptoms that lasted for six weeks after treatment cessation. This case highlights the need for further research to identify the underlying mechanisms, high-risk populations, and implications for informed consent and clinical recommendations.

Indexed as

adverse reactionantibioticsdoxycyclinemanianeuropsychiatric disorderspsychosis

Identifiers

PMID40028429
PMCPMC11871505

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.