![]() Musical hallucinations are associated with being female, hearing impairments, brain diseases affecting the non-dominant hemisphere, temporal lobe lesions, and mental disorders such as depression, schizophrenia, and obsessive-compulsive disorder. The patient was followed for approximately 6 months and she maintained improvements. As a result, the olanzapine dose was increased to 5 mg/day but, due to increased sedation, it had to be decreased to 2.5 mg/day again. During subsequent follow-up visits, the sounds decreased in intensity and did not interfere with her daily life, but were not completely resolved. However, the musical hallucinations persisted, and the patient began treatment with olanzapine tablets (2.5 mg/day). Thus, administration of ceftazidime was discontinued after 2 weeks. A psychiatric interview and examination were unable to identify any factors responsible for the musical hallucinations other than ceftazidime. Blood examinations, including a hemogram and liver function, kidney function, serum electrolyte, and thyroid function tests, were all within normal limits there was no individual or family history of any psychiatric or medical illness in the index patient, and no history of substance abuse was present. The patient was thoroughly assessed, but neurological examinations and a brain CT scan revealed no significant abnormalities. In the beginning, the music was soft and did not interfere with her daily life, but the loudness of the music eventually increased, and the musical hallucinations were present from the moment she awoke until late at night. She had suddenly begun hearing songs with lyrics that repeated themselves indefinitely before changing into different pieces of music. The patient complained of auditory hallucinations that began 1 to 2 days after administration of ceftazidime. However, the patient did not want to undergo surgery and was treated only with intravenous administrations of ceftazidime (2 g/day), which is a third-generation cephalosporin effective against ciprofloxacin-resistant P. Her condition was diagnosed as bilateral chronic otitis media thus, surgery and administration of antibacterial agents were recommended as treatment. Although the patient had hearing impairments in both ears, it was possible to appropriately communicate with her because she had speech discrimination scores of 96% for both ears without hearing aids on a speech audiometry exam. Computed tomography (CT) scans of the temporal bone revealed chronic otitis media in both ears. The patient had tympanic membrane perforations and active pus discharge in both ears a bacterial culture of the otorrhea samples showed ciprofloxacin-resistant P. 8– 12) To our knowledge, this is the first report of musical hallucinations associated with ceftazidime in the absence of other neurological or psychiatric symptoms.Ī 51-year-old woman presented for a consultation for bilateral otorrhea at our otorhinolaryngology department. Ceftazidime is associated with several adverse reactions within the central nervous system, including headaches, dizziness, convulsions, manic episodes, and hallucinations. Ceftazidime is a third-generation cephalosporin that belongs to a group of beta-lactam antibiotics used for the treatment of severe infections, particularly ciprofloxacin-resistant Pseudomonas aeruginosa infections. Here, the case of a patient with no personal or family history of psychiatric disorders who complained of musical hallucinations associated with the administration of ceftazidime is presented. The etiology of musical hallucinations can be divided into five groups: secondary to auditory deprivation, focal cerebral lesions, psychiatric pathology, epilepsy, and secondary to pharmaceuticals or metabotoxic causes. 2) Various types of dysfunction within an extensive network of interconnected brain areas are thought to be the potential causes of musical hallucinations, but most cases are likely due to multifactorial etiologies. 1) The exact prevalence of musical hallucinations is unknown, although estimates as high as 2.5% have been reported in older patients with hearing impairments. ![]() Musical hallucinations, which are also known as musical hallucinosis or musical-ear syndrome, are characterized by songs, tunes, harmonics, rhythms, and/or timbers.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |