Case 271: Metronidazole-induced Encephalopathy

Radiology. 2019 Nov;293(2):473-479. doi: 10.1148/radiol.2019171079.

Abstract

HistoryAn 11-year-old boy taking oral antibiotics for Fusobacterium meningitis diagnosed 3 months earlier presented to the emergency department with a 1-week history of intermittent emesis, dizziness, and vertigo and a 1-day history of wobbly gait and bilateral lower extremity paresthesia without confusion. His metabolic profile was normal. Contrast material-enhanced MRI of the brain was performed.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / adverse effects*
  • Anti-Bacterial Agents / therapeutic use
  • Brain / diagnostic imaging
  • Brain Diseases / chemically induced*
  • Brain Diseases / diagnostic imaging
  • Child
  • Fusobacterium Infections / drug therapy
  • Humans
  • Magnetic Resonance Imaging / methods
  • Male
  • Meningitis, Bacterial / drug therapy
  • Metronidazole / adverse effects*
  • Metronidazole / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Metronidazole