Key result
Septic picture masks peri-operative serotonin syndrome in a head and neck oncology patient.
Case Report (n=1)
Highlights the importance of recognizing serotonin syndrome, which can be masked by a septic picture in surgical patients, and reinforces awareness of drug interactions.
Clinicians should consider serotonin syndrome despite septic masking in head and neck oncology perioperatively; single case leaves open systematic incidence evaluation.
This article describes the sequence of acute clinical deterioration seen in a head and neck oncology patient who developed serotonin syndrome peri-operatively. It highlights the clinical dilemma that can be encountered when a septic picture masks the onset of serotonin syndrome and reinforces the importance of awareness of the potential interactions and side effects associated with drugs that surgeons prescribe. We discuss the pathophysiology, causal factors, clinical presentation and diagnosis of serotonin syndrome as well as highlighting some of the dilemmas that this condition presents in the surgical setting.
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Shaikh et al. (2011) conducted a case report in Serotonin syndrome (n=1). Serotonergic drugs was evaluated on Development of serotonin syndrome. A head and neck oncology patient developed peri-operative serotonin syndrome, highlighting the clinical dilemma when a septic picture masks its onset.
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