Case Study: Neuropsychiatric Symptoms Associated With the Antimalarial Agent Mefloquine

The development of acute neuropsychiatric symptoms in a 10-year-old boy subsequent to his return from travel abroad in Africa, where he had taken the antimalarial agent mefloquine (Lariam®), is reported. A 4-week course of cognitive-behavioral therapy was used to effectively treat this substance-ind...

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Veröffentlicht in:Journal of the American Academy of Child and Adolescent Psychiatry 1997-11, Vol.36 (11), p.1606-1608
Hauptverfasser: Clattenburg, Richard N., Donnelly, Craig L.
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container_title Journal of the American Academy of Child and Adolescent Psychiatry
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creator Clattenburg, Richard N.
Donnelly, Craig L.
description The development of acute neuropsychiatric symptoms in a 10-year-old boy subsequent to his return from travel abroad in Africa, where he had taken the antimalarial agent mefloquine (Lariam®), is reported. A 4-week course of cognitive-behavioral therapy was used to effectively treat this substance-induced anxiety disorder, which had been caused by treatment with mefloquine. A review of the literature about adverse neuropsychiatric effects of mefloquine and the differential diagnosis of malaria is provided. In an age in which international travel is occurring with increasing frequency, it is important to obtain travel histories, including exposure to prophylactic medication, when patients present with acute-onset psychiatric symptoms.
doi_str_mv 10.1016/S0890-8567(09)66572-2
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subjects antimalarial
Antimalarials - adverse effects
anxiety
Anxiety Disorders - chemically induced
Anxiety Disorders - diagnosis
Anxiety Disorders - therapy
Biological and medical sciences
Child
Child psychology
Cognitive Therapy
Diagnosis, Differential
Drug therapy
Drug toxicity and drugs side effects treatment
Humans
Malaria
Malaria - prevention & control
Male
Medical sciences
mefloquine (Lariam®)
Mefloquine - adverse effects
Mental disorders
Neurology
Pharmacology. Drug treatments
Toxicity: nervous system and muscle
Travel
title Case Study: Neuropsychiatric Symptoms Associated With the Antimalarial Agent Mefloquine
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