METHODS: Due to terminal delirium, a 66-year-old man took a large dose of quetiapine and then developed severe pulmonary disease. His symptoms were not resolved after routine treatment, such as antibiotics, diuretic, and supportive therapies. Quetiapine-related acute lung injury was therefore suspected and hormonal therapy was initiated. Subsequently, his symptoms were alleviated and the radiological results improved dramatically.
CONCLUSIONS: Our findings in the present report highlight a potential adverse effect of quetiapine, drug-related acute lung injury, which deserves awareness in clinical practice.
方法:由于终末谵妄,一名66岁的男子服用了大剂量喹硫平,然后出现了严重的肺部疾病。常规治疗后症状没有缓解,比如抗生素,利尿剂,和支持性治疗。因此怀疑喹硫平相关急性肺损伤,并开始激素治疗。随后,他的症状得到缓解,放射学结果明显改善。
结论:我们在本报告中的发现突出了喹硫平的潜在不良反应,药物相关急性肺损伤,这是值得在临床实践中认识的。