A 78-year-old woman is admitted with confusion and agitation. She has no past psychiatric history. Her family mention she recently visited the dentist...

Question

A 78-year-old woman is admitted with confusion and agitation. She has no past psychiatric history. Her family mention she recently visited the dentist who prescribed Ciprofloxacin for a dental infection. She has type 2 diabetes on Gliclazide. Her blood glucose is 2.4 mmol/L. What is the MOST likely cause of her confusion?

Accepted Answer

Hypoglycaemia from a Ciprofloxacin-Gliclazide interaction potentiating the hypoglycaemic effect of Gliclazide

Answer

Ciprofloxacin-related CNS toxicity

Answer

Dental abscess spreading to the brain

Answer

New-onset dementia

Answer

Ciprofloxacin allergy

uk-dgm MCQ (SBA): Fluoroquinolone-Sulphonylurea Hypoglycaemia Interaction