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Inicio Revista Colombiana de Psiquiatría Brote psicótico agudo y rabdomiólisis tras el uso de lovastatina
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Vol. 41. Issue 3.
Pages 672-679 (September 2012)
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Vol. 41. Issue 3.
Pages 672-679 (September 2012)
Reporte de caso
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Brote psicótico agudo y rabdomiólisis tras el uso de lovastatina
Psychotic Acute Episode and Rhabdomyolysis after Lovastatin Ingestion
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1807
Beatriz H. Caamaño1, Jairo M. González Díaz2,
Corresponding author
jairo927@gmail.com

Correspondencia: Jairo M. González Díaz, Grupo de Investigación en Psiquiatría, Universidad del Magdalena, Calle 13 No. 7-06, Ciénaga, Magdalena, Colombia
, Daniel Guerrero Bracho3, Harold Herrera3, Manuel Castro Samur4
1 Médica psiquiatra, jefe del Servicio de Salud Mental del Hospital Universitario Fernando Troconis, directora del Grupo de Investigación en Psiquiatría de la Universidad del Magdalena, Santa Marta, Colombia
2 Médico coordinador del Grupo de Investigación en Psiquiatría de la Universidad del Magdalena, Santa Marta, Colombia
3 Estudiante de Medicina y coinvestigador del Grupo de Investigación en Psiquiatría de la Universidad del Magdalena, Santa Marta, Colombia
4 Médico, coinvestigador del Grupo de Investigación en Psiquiatría de la Universidad del Magdalena, Santa Marta, Colombia
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Resumen
Introducción

Las estatinas son los medicamentos más recetados en el mundo, por el beneficio y la seguridad que ofrecen. Sin embargo, pueden causar reacciones adversas a escala neurológica, gastrointestinal, renal y muscular.

Objetivo

Es describir el curso clínico de una paciente con reacción adversa medicamentosa a la lovastatina.

Métodos

Reporte de caso y revisión de la literatura.

Resultados

Mujer de 52 años con psicosis súbita y rabdomiólisis secundaria al consumo de lovastatina, clínica que remite con la suspensión del fármaco. La relación causal se establece a través de la escala de Naranjo, con puntuación de 6 (probable reacción adversa medicamentosa).

Conclusión

La manifestación simultánea de psicosis y rabdomiólisis representa un caso clínico atípico y único consecuente a la ingesta de lovastatina.

Palabras clave:
Psicosis
rabdomiólisis
lovastatina
reacción adversa medicamentosa
Abstract
Introduction

Statins are the most prescribed drugs worldwide given the benefit and security they offer. However, they can cause severe neurological, gastrointestinal, renal and muscular side effects.

Objective

To describe the clinical course of a female patient with adverse drug reaction to Lovastatin.

Methods

Case report and literature review.

Results

52-year old woman with sudden psychosis and rhabdomyolysis secondary to Lovastatin and ending after the drug suspension. The causal relationship was corroborated with a score of 6 (probable ADR) on Naranjo's Scale.

Conclusions

The simultaneous manifestation of psychosis and rhabdomiolysis represents an atypical and unique case following Lovastatin ingestion.

Key words:
Psychosis
rhabdomyolysis
lovastatin
adverse drug reaction
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Conflictos de interés: Los autores manifiestan que no tienen conflictos de interés en este artículo.

Copyright © 2012. Asociación Colombiana de Psiquiatría
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