Evidence map›Paper›PMID 41322760›Full record

ArticleCureus2025

Cefepime-Induced Neurotoxicity in an Elderly Patient: A Case Report.

Miguel Herrera, Carlos F Caballero, Brian J Robles, Karen Courville

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. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Miguel HerreraInternal Medicine, Hospital Gustavo Nelson Collado, Chitre, PAN.
Carlos F CaballeroInternal Medicine, Hospital Gustavo Nelson Collado, Chitre, PAN.
Brian J RoblesInternal Medicine, Hospital Gustavo Nelson Collado, Chitre, PAN.
Karen CourvilleResearch and Development, Sistema Nacional de Investigación, Panama, PAN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cefepime, a fourth-generation cephalosporin, may cause neurotoxicity, especially in patients with renal impairment. We report an 81-year-old man with chronic kidney disease (CKD) treated with intravenous cefepime for pneumonia. After five days, he developed acute confusion and reduced consciousness. Laboratory results showed no metabolic abnormalities and no microbial growth in blood cultures, and chest X-ray images improved. Cefepime-induced neurotoxicity (CIN) was suspected; the drug was discontinued and replaced with piperacillin-tazobactam. Neurological status recovered fully within 48 hours. This case underscores the need to recognize cefepime neurotoxicity in elderly patients with renal dysfunction, ensuring timely intervention through dose adjustment or discontinuation.

Indexed as

cefepime-induced neurotoxicitychronic kidney disease (ckd)drug-related side effects and adverse reactionselderly peopleneurological manifestationssymptom assessment

Identifiers

PMID41322760
PMCPMC12662840

What OpenQuestion holds

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Registered trials

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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.