Diphenhydramine induced acute dystonia: a case report

Pan Afr Med J. 2022 Aug 17:42:289. doi: 10.11604/pamj.2022.42.289.35167. eCollection 2022.

Abstract

Acute dystonia has notably been a challenge in the emergency unit. Drug-induced dystonia is reported in a limited number of cases in the literature. Rarely, diphenhydramine was found to be the culprit. We report the case of a 25-year-old female patient who developed an acute dystonic reaction following the administration of 25 mg of intravenous diphenhydramine as a treatment for an allergic reaction. The patient was given 5 mg diazepam, admitted for monitoring, and discharged home. Diphenhydramine-induced acute dystonia is a user drug-induced threatening reaction that warrants further investigation on the metabolism of these drugs and the contributing phenotypes to this adverse reaction.

Keywords: Dystonia; abnormal movements; case report; diphenhydramine.

Publication types

  • Case Reports

MeSH terms

  • Diphenhydramine / adverse effects
  • Dystonia* / chemically induced
  • Dystonia* / diagnosis
  • Female
  • Humans
  • Hypersensitivity*

Substances

  • Diphenhydramine