Case report of acute type 2 respiratory failure secondary to Colistin

Authors

  • Mushtak Algherbawe Medical Department, Sur Hospital, Sur, Oman.
  • Awad Wanis Wanis Medical Department, Sur Hospital, Sur, Oman.

Keywords:

Colistin, neurotoxicity, respiratory failure

Abstract

We report an elderly patient who developed  type 2 respiratory failure after receiving Colistimethate (CMT).  The patient  has  chronic kidney disease, and was admitted to Medical  Intensive Care Unit  with  pneumococcal pneumonia. However, he  had nosocomial  acinetobacter baumannii urinary tract infection, which was only sensitive to colistin. Unfortunately, 72 hours after initiation of Colistimethate, his consciousness deteriorated. 5 days later,  he passed  into acute type 2 respiratory failure. All investigations were done and no cause was found so, Colistin induced respiratory failure was presumed hence, the drug was withdrawn,  and his condition improved within 48 hours and was extubated 4 days later.

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Published

2020-01-19

How to Cite

1.
Algherbawe M, Wanis AW. Case report of acute type 2 respiratory failure secondary to Colistin. Iraq Med J [Internet]. 2020 Jan. 19 [cited 2024 Nov. 4];3(3). Available from: https://iraqmedj.org/index.php/imj/article/view/647

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Section

Case Report

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