Table 3.
CNS neurotoxicity induced by antibiotics
| Sr. no. | Class of antibiotics | Antibiotics | Complications | References |
|---|---|---|---|---|
| 1 | Aminoglycosides | Gentamicin |
Peripheral neuropathy and encephalopathy Lesions in the pons and mesencephalon |
Watanabe et al. (1978) |
| 2 | Aminoglycosides | Amikacin, tobramycin, neomycin, kanamycin | Needle muscular and autonomic transmission blockade | – |
| 3 | Cephalosporin | Cefazolin, cefuroxin, ceftazidime, cefepime |
Non-convulsive status epilepticus Truncal asterixis Renal failure Myoclonus |
Grill and Maganti (2008) |
| 4 | Penicillin | Piperacillin |
Tardive seizures Tonic–clonic seizures |
|
| Ampicillin |
Low birth-weight neonates Renal immaturity Neonatal seizure without clinical manifestations |
|||
| 5 | Carbapenem | Luripenem | Renal insufficiency | Lamoth et al. (2009) |
| 6 | Tetracyclines | – |
Cranial nerve toxicity Neuromuscular blockade |
Thomas (1994) |
| 7 | Macrolides | – |
Ototoxicity with damage to the cochlea Hearing impairment |
– |
| 8 | Quinolones | – |
Myoclonus, toxic psychosis Oro-facial dyskinesias Acute delirium with psychotic features |
Kiangkitiwan et al. (2008) |
| 9 | Vancomycin | – |
Ventriculitis CSF-pleocytosis Eosinophilia |
– |