tokens: We report a 57 - year - old woman with end - stage renal disease receiving continuous ambulatory peritoneal dialysis ( CAPD ) , who developed slurred speech , tremor , bizarre behavior , progressive mental confusion , and 2 episodes of generalized tonic - clonic seizure ( GTCS ) after 5 doses of piperacillin / tazobactam ( 2 g / 250 mg ) were given for bronchiectasis with secondary infection .