Abstract
A 73-year-old man who presented with fever and abdominal discomfort was diagnosed to have a liver abscess. He was treated with antimicrobials which included metronidazole. One month into treatment, he developed neurological symptoms and signs that were suggestive of cerebellar pathology. MRI of the brain showed T2/fluid attenuated inversion recovery hyperintensities involving bilateral dentate, fastigial and interpositus nuclei. After excluding common aetiologies, the possibility of metronidazole-induced neurotoxicity was considered. After stopping metronidazole, his symptoms and signs resolved. A subsequent MRI scan of the brain showed reversal of changes. Neurotoxicity caused by metronidazole is an uncommon adverse effect of a commonly used antimicrobial drug and should be considered in the appropriate clinical scenario.
Reference18 articles.
1. Clinical and neuroradiological spectrum of metronidazole induced encephalopathy: our experience and the review of literature;Roy;J Clin Diagn Res,2016
2. Neurologic complications of metronidazole;Sarna;Can J Neurol Sci,2013
3. Metronidazole-Induced Central Nervous System Toxicity
4. Side effects of metronidazole;Giannini;Am J Psychiatry,1977
5. Metronidazole-Induced encephalopathy: a systematic review;Sørensen;J Neurol,2020
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