A 75-year-old woman with known chronic kidney disease (stage 4, eGFR 25 ml/min/1.73m2) is prescribed ciprofloxacin 500mg BD for a urinary tract infect...

Question

A 75-year-old woman with known chronic kidney disease (stage 4, eGFR 25 ml/min/1.73m2) is prescribed ciprofloxacin 500mg BD for a urinary tract infection by an out-of-hours doctor. She develops nausea, confusion, and has a witnessed generalised seizure. Which of the following is the most likely reason for her symptoms?

Accepted Answer

Ciprofloxacin-induced encephalopathy and seizure due to inappropriate dose for renal function

Answer

Urosepsis causing delirium and seizure

Answer

Hyponatraemia secondary to ciprofloxacin

Answer

Hypoglycaemia

Answer

Progression of underlying dementia triggered by infection

mrcgp akt MCQ (SBA): Adverse Drug Reaction (Ciprofloxacin in CKD)