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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
A RARE CASE OF LEVOFLOXACIN INDUCED HYPOGLYCEMIA
Author
Pradeep M. Venkategowda*, Himaal Dev, Lokesh M. B, Ashwini murthy
Email
drpradeepmarur@gmail.com
keyword
Levofloxacin, Hypoglycemia, Pneumonia, Fluroquinolones.
Abstract
Levofloxacin a broad spectrum fluroquinolone, is a commonly prescribed antimicrobial for many bacterial infections. This case report highlights rare case of hypoglycemia in a 63 year old female patient with past history of hypertension and chronic kidney disease who presented to our emergency department (ED) with history of fever and dry cough since 3 days. Diagnosed to be having community acquired pneumonia and started on injection Levofloxacin 500mg once daily. On third day of admission, patient suddenly developed headache and became anxious, confused with tachycardia and tachypnoea. Patient was found to be having hypoglycemia (GRBS- 58mg/dl). Suspected to be having Levofloxacin induced hypoglycemia, hence Levofloxacin was stopped and hypoglycemia was managed with multiple boluses of 100ml 25% dextrose. This case report highlights the rare cause of hypoglycemia caused by Levofloxacin. High suspicion about this rare side effect and stopping of the Levofloxacin along with symptomatic treatment can reduce morbidity and mortality.
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