Skip to main content
Top
Published in: BMC Infectious Diseases 1/2019

Open Access 01-12-2019 | Oseltamivir | Case report

Neuropsychiatric events in an adult patient with influenza a (H3N2) treated with oseltamivir (Tamiflu): a case report

Authors: Ruochan Chen, Zhixiong Fang, Yan Huang

Published in: BMC Infectious Diseases | Issue 1/2019

Login to get access

Abstract

Background

Total four influenza pandemics have happened since twentieth century, and currently influenza is in the seasonal epidemic around the world, with a sharp increase in its incidence each year. As an effective treatment of influenza infection, the use of oseltamivir is climbing globally. However, there have been reports of neuropsychiatric events associated with the drug, mainly in young patients and males. To our knowledge, this is the first reported case of oseltamivir-associated neuropsychiatric events occurring in an patient over 50-year-old.

Case presentation

Here we present the case of a 57-year-old Chinese female with H3N2 influenza infection who developed abnormal psychiatric symptoms after administration of high doses of oseltamivir. The patient recovered completely within the cessation of oseltamivir.

Conclusions

We hope that our case report will lead clinicians to be mindful about oseltamivir’s potential neuropsychiatric side effects, and to pay special attention to each patient’s mental state, both in children and adults.
Literature
1.
go back to reference Morimoto K, Nagaoka K, Nagai A, Kashii H, Hosokawa M, Takahashi Y, et al. Analysis of a child who developed abnormal neuropsychiatric symptoms after administration of oseltamivir: a case report. BMC Neurol. 2015;15:130.PubMedPubMedCentral Morimoto K, Nagaoka K, Nagai A, Kashii H, Hosokawa M, Takahashi Y, et al. Analysis of a child who developed abnormal neuropsychiatric symptoms after administration of oseltamivir: a case report. BMC Neurol. 2015;15:130.PubMedPubMedCentral
2.
go back to reference Jeon SW, Han C. Psychiatric symptoms in a patient with influenza a (H1N1) treated with oseltamivir (Tamiflu): a case report. Clin Psychopharmacol Neurosci. 2015;13(2):209–11.PubMedPubMedCentral Jeon SW, Han C. Psychiatric symptoms in a patient with influenza a (H1N1) treated with oseltamivir (Tamiflu): a case report. Clin Psychopharmacol Neurosci. 2015;13(2):209–11.PubMedPubMedCentral
3.
go back to reference Ho LN, Chung JP, Choy KL. Oseltamivir-induced mania in a patient with H1N1. Am J Psychiatry. 2010;167(3):350.PubMed Ho LN, Chung JP, Choy KL. Oseltamivir-induced mania in a patient with H1N1. Am J Psychiatry. 2010;167(3):350.PubMed
4.
go back to reference Chung S, Joung YS. Oseltamivir (tamiflu) induced depressive episode in a female adolescent. Psychiatry investigation. 2010;7(4):302–4.PubMedPubMedCentral Chung S, Joung YS. Oseltamivir (tamiflu) induced depressive episode in a female adolescent. Psychiatry investigation. 2010;7(4):302–4.PubMedPubMedCentral
5.
go back to reference Staff of the Center for Biosecurity of U. National strategy for pandemic influenza and the HHS pandemic influenza plan: thoughts and comments. Biosecurity and bioterrorism : biodefense strategy, practice, and science. 2005;3(4):292–4. Staff of the Center for Biosecurity of U. National strategy for pandemic influenza and the HHS pandemic influenza plan: thoughts and comments. Biosecurity and bioterrorism : biodefense strategy, practice, and science. 2005;3(4):292–4.
7.
go back to reference Shun-Shin M, Thompson M, Heneghan C, Perera R, Harnden A, Mant D. Neuraminidase inhibitors for treatment and prophylaxis of influenza in children: systematic review and meta-analysis of randomised controlled trials. Bmj. 2009;339:b3172.PubMedPubMedCentral Shun-Shin M, Thompson M, Heneghan C, Perera R, Harnden A, Mant D. Neuraminidase inhibitors for treatment and prophylaxis of influenza in children: systematic review and meta-analysis of randomised controlled trials. Bmj. 2009;339:b3172.PubMedPubMedCentral
8.
go back to reference Whitley RJ, Hayden FG, Reisinger KS, Young N, Dutkowski R, Ipe D, et al. Oral oseltamivir treatment of influenza in children. Pediatr Infect Dis J. 2001;20(2):127–33.PubMed Whitley RJ, Hayden FG, Reisinger KS, Young N, Dutkowski R, Ipe D, et al. Oral oseltamivir treatment of influenza in children. Pediatr Infect Dis J. 2001;20(2):127–33.PubMed
9.
go back to reference Dobson J, Whitley RJ, Pocock S, Monto AS. Oseltamivir treatment for influenza in adults: a meta-analysis of randomised controlled trials. Lancet. 2015;385(9979):1729–37.PubMed Dobson J, Whitley RJ, Pocock S, Monto AS. Oseltamivir treatment for influenza in adults: a meta-analysis of randomised controlled trials. Lancet. 2015;385(9979):1729–37.PubMed
10.
go back to reference Jefferson T, Jones M, Doshi P, Spencer EA, Onakpoya I, Heneghan CJ. Oseltamivir for influenza in adults and children: systematic review of clinical study reports and summary of regulatory comments. Bmj. 2014;348:g2545.PubMedPubMedCentral Jefferson T, Jones M, Doshi P, Spencer EA, Onakpoya I, Heneghan CJ. Oseltamivir for influenza in adults and children: systematic review of clinical study reports and summary of regulatory comments. Bmj. 2014;348:g2545.PubMedPubMedCentral
11.
go back to reference Wallensten A, Oliver I, Lewis D, Harrison S. Compliance and side effects of prophylactic oseltamivir treatment in a school in south West England. Euro Surveill. 2009;14(30):19285.PubMed Wallensten A, Oliver I, Lewis D, Harrison S. Compliance and side effects of prophylactic oseltamivir treatment in a school in south West England. Euro Surveill. 2009;14(30):19285.PubMed
12.
go back to reference Fuyuno I. Tamiflu side effects come under scrutiny. Nature. 2007;446(7134):358–9.PubMed Fuyuno I. Tamiflu side effects come under scrutiny. Nature. 2007;446(7134):358–9.PubMed
13.
go back to reference Toovey S, Rayner C, Prinssen E, Chu T, Donner B, Thakrar B, et al. Assessment of neuropsychiatric adverse events in influenza patients treated with oseltamivir: a comprehensive review. Drug Saf. 2008;31(12):1097–114.PubMed Toovey S, Rayner C, Prinssen E, Chu T, Donner B, Thakrar B, et al. Assessment of neuropsychiatric adverse events in influenza patients treated with oseltamivir: a comprehensive review. Drug Saf. 2008;31(12):1097–114.PubMed
14.
go back to reference Yorifuji T, Suzuki E, Tsuda T. Oseltamivir and abnormal behaviors: true or not? Epidemiology. 2009;20(4):619–21.PubMed Yorifuji T, Suzuki E, Tsuda T. Oseltamivir and abnormal behaviors: true or not? Epidemiology. 2009;20(4):619–21.PubMed
15.
go back to reference Greene SK, Li L, Shay DK, Fry AM, Lee GM, Jacobsen SJ, et al. Risk of adverse events following oseltamivir treatment in influenza outpatients, vaccine safety datalink project, 2007-2010. Pharmacoepidemiol Drug Saf. 2013;22(4):335–44.PubMed Greene SK, Li L, Shay DK, Fry AM, Lee GM, Jacobsen SJ, et al. Risk of adverse events following oseltamivir treatment in influenza outpatients, vaccine safety datalink project, 2007-2010. Pharmacoepidemiol Drug Saf. 2013;22(4):335–44.PubMed
16.
go back to reference Toovey S, Prinssen EP, Rayner CR, Thakrar BT, Dutkowski R, Koerner A, et al. Post-marketing assessment of neuropsychiatric adverse events in influenza patients treated with oseltamivir: an updated review. Adv Ther. 2012;29(10):826–48.PubMed Toovey S, Prinssen EP, Rayner CR, Thakrar BT, Dutkowski R, Koerner A, et al. Post-marketing assessment of neuropsychiatric adverse events in influenza patients treated with oseltamivir: an updated review. Adv Ther. 2012;29(10):826–48.PubMed
17.
go back to reference Wang GF, Li W, Li K. Acute encephalopathy and encephalitis caused by influenza virus infection. Curr Opin Neurol. 2010;23(3):305–11.PubMed Wang GF, Li W, Li K. Acute encephalopathy and encephalitis caused by influenza virus infection. Curr Opin Neurol. 2010;23(3):305–11.PubMed
18.
go back to reference Smith JR, Sacks S. Incidence of neuropsychiatric adverse events in influenza patients treated with oseltamivir or no antiviral treatment. Int J Clin Pract. 2009;63(4):596–605.PubMed Smith JR, Sacks S. Incidence of neuropsychiatric adverse events in influenza patients treated with oseltamivir or no antiviral treatment. Int J Clin Pract. 2009;63(4):596–605.PubMed
19.
go back to reference Jefferson T, Jones MA, Doshi P, Del Mar CB, Heneghan CJ, Hama R, et al. Neuraminidase inhibitors for preventing and treating influenza in healthy adults and children. Cochrane Database Syst Rev. 2012;1:CD008965.PubMed Jefferson T, Jones MA, Doshi P, Del Mar CB, Heneghan CJ, Hama R, et al. Neuraminidase inhibitors for preventing and treating influenza in healthy adults and children. Cochrane Database Syst Rev. 2012;1:CD008965.PubMed
21.
go back to reference Morimoto K, Nagami T, Matsumoto N, Wada S, Kano T, Kakinuma C, et al. Developmental changes of brain distribution and localization of oseltamivir and its active metabolite Ro 64-0802 in rats. J Toxicol Sci. 2012;37(6):1217–23.PubMed Morimoto K, Nagami T, Matsumoto N, Wada S, Kano T, Kakinuma C, et al. Developmental changes of brain distribution and localization of oseltamivir and its active metabolite Ro 64-0802 in rats. J Toxicol Sci. 2012;37(6):1217–23.PubMed
Metadata
Title
Neuropsychiatric events in an adult patient with influenza a (H3N2) treated with oseltamivir (Tamiflu): a case report
Authors
Ruochan Chen
Zhixiong Fang
Yan Huang
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Infectious Diseases / Issue 1/2019
Electronic ISSN: 1471-2334
DOI
https://doi.org/10.1186/s12879-019-3827-4

Other articles of this Issue 1/2019

BMC Infectious Diseases 1/2019 Go to the issue