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Case Report


Reported Case of Paracetamol and Non-Steroidal Anti-Inflammatory Drug (NSAID)-Induced Seizures in a Patient with HIV Infection

 

Oguamanam Okezie Enwere1 and Chinedu Valentine Eze2

1Department of  Medicine, Faculty of Medicine, Imo State University, Orlu Campus, 2Department of Internal Medicine, Imo State University Teaching Hospital, Umuna Orlu, Imo State, Nigeria.

 

*For correspondence: Email: okeyzie@yahoo.com; Tel: +2348033260826

 

Received: 18 April 2013                                                                          Revised accepted: 30 January 2014

 

Tropical Journal of Pharmaceutical Research, March 2014; 13(3): 455-457

http://dx.doi.org/10.4314/tjpr.v13i3.21   

Abstract

Commonly available analgesics, such as paracetamol and non-steroidal anti-inflammatory drugs (NSAIDs), are used widely with few or no adverse events by most individuals. However, some adverse events have been observed following the use of these drugs. This paper reports a case of paracetamol and NSAID-induced seizures in a patient with the human immunodeficiency virus infection/acquired immune deficiency syndrome (HIV/AIDS). These seizures occurred at different times, first with paracetamol and then diclofenac (a NSAID). She was concurrently on anti-retroviral drugs and antibiotics. We were unable to readily explain this unusual adverse event as most documented paracetamol-related adverse events are either immunoglobulin E (IgE)-mediated or due to direct paracetamol-induced hepatic necrosis following an overdose. This case is a probable drug-drug interaction not supported by existing literature, and it is possible that the background HIV infection may have a role to play. 

Keywords: Paracetamol, Diclofenac, Adverse events, Seizures, HIV/AIDS.

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