Serotonin syndrome following septal myectomy in association with fentanyl and methylene blue: A case report

The present case report describes a case of serotonin syndrome which developed post septal myectomy in a patient with hypertrophic cardiomyopathy. This case contributes to an emerging awareness of serotonin syndrome in the context of prescribed serotonergic agents, such as SSRIs, and triggered by the addition of fentanyl and methylene blue, particularly in conjunction cardiological procedures. Clinicians should be aware of such interactions which increase the emergence of the serotonin syndrome and the appropriate management of comorbid delirium post-serotonin syndrome.

Source: Psychosomatics - February 13, 2018 Category: Psychiatry & Psychology Authors: Lindsay Haacker, MaryJo Maliekel, Ryan Bergren, Christina Hantsch Bardsley, Edwin Meresh, Angelos Halaris Source Type: research