Linezolid-associated toxic optic neuropathy: a report of 2 cases

Clin Infect Dis. 2003 Nov 15;37(10):1389-91. doi: 10.1086/379012. Epub 2003 Oct 17.

Abstract

We describe 2 cases in which the prolonged use of linezolid to treat complicated methicillin-resistant Staphylococcus aureus infections was followed by acutely developed blurred vision and progressive loss of vision and color perception during the ensuing few weeks. Both patients received a diagnosis of toxic optic neuropathy, and linezolid therapy was stopped. The patients experienced an initial rapid partial improvement and a subsequent gradual, almost complete, recovery over many months.

Publication types

  • Case Reports

MeSH terms

  • Acetamides / adverse effects*
  • Acetamides / therapeutic use
  • Aged
  • Anti-Infective Agents / adverse effects*
  • Anti-Infective Agents / therapeutic use
  • Female
  • Humans
  • Linezolid
  • Male
  • Methicillin Resistance
  • Middle Aged
  • Optic Nerve Diseases / chemically induced*
  • Optic Nerve Diseases / physiopathology
  • Oxazolidinones / adverse effects*
  • Oxazolidinones / therapeutic use
  • Staphylococcal Infections / drug therapy
  • Staphylococcus aureus / drug effects

Substances

  • Acetamides
  • Anti-Infective Agents
  • Oxazolidinones
  • Linezolid