- Cefepime, a fourth-generation antibiotic, has extended antimicrobial capabilities but can cause serious side effects like myoclonus and seizures, particularly in patients with kidney issues.
- A 69-year-old patient treated with cefepime for pneumonia experienced mental status changes that led to the diagnosis of encephalopathy, even with normal kidney function.
- The patient's symptoms completely resolved after stopping cefepime, and the report includes similar cases found in medical literature up to now.
Pulmonary embolism (PE) is a serious health concern in the U.S. with high death rates, leading clinicians to suspect it frequently.
A 46-year-old woman, despite low risk indicators (Wells score and D-dimer), underwent unnecessary CTPA after showing PE symptoms from a long road trip.
The case emphasizes the need to follow established guidelines for diagnosing PE to avoid unnecessary and harmful procedures.