Document Type

Article

Publication Title

Cureus

Abstract

Serotonin syndrome (SS) describes a life-threatening clinical condition that can develop within hours or days after taking serotonergic medication(s). Medication adverse reactions, overdose, or drug interactions can cause this syndrome. Patients often present with symptoms of hyperthermia, muscle rigidity, hyperreflexia, and clonus. Symptoms range broadly in severity, often influenced by polypharmacy and age. In this report, SS was diagnosed in an elderly patient who presented with diffuse urticaria and exacerbated tremor. These complaints were thought to be associated with Parkinson's disease due to a strong family history. Clinicians are encouraged to consider SS in their differential diagnosis when dealing with elderly patients with multiple medications, psychiatric diagnoses, conditions managed by other providers, and/or a strong family history of neurodegenerative diseases.

DOI

10.7759/cureus.48161

Publication Date

11-2-2023

Keywords

serotonin-norepinephrine reuptake inhibitor, selective serotonin reuptake inhibitor (SSRI), medical error, serotonin toxicity, atomoxetine, duloxetine, sertraline, mid-level care, Parkinson disease, serotonin syndrome

ISSN

2168-8184

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