Metronidazole's hidden impact: decoding cerebellar clues on MRI through a case report.

IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL
Oxford Medical Case Reports Pub Date : 2025-05-28 eCollection Date: 2025-05-01 DOI:10.1093/omcr/omaf024
Basma Beqqali, Joud Boutaleb, Basma Dghoughi, Lina Lasri, I Z I Zineb, Mohamed Bouchentouf, Tarik Salaheddine, Rachida Saouab, Meryem Edderai, Jamal Elfenni
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引用次数: 0

Abstract

A 70-year-old patient with a history of skull base osteomyelitis experienced slurred speech, dizziness, and coordination issues. He had been treated with both intravenous and oral metronidazole. Brain MRI revealed symmetrical areas of hyperintensity in the bilateral dentate nuclei, tectum, and splenium of the corpus callosum. These abnormalities nearly completely disappeared a few days after stopping the medication. Metronidazole, frequently used as an antiparasitic and antibacterial drug, can lead to neurotoxicity, particularly when used for extended periods. Symptoms generally improve after the drug is discontinued. MRI is vital for diagnosis and follow-up, as it detects specific changes in brain regions due to axonal swelling and increased water content.

甲硝唑的隐性影响:通过病例报告解读MRI小脑线索。
患者70岁,颅底骨髓炎病史,言语不清,头晕,协调问题。他曾接受静脉注射和口服甲硝唑治疗。脑MRI显示双侧胼胝体齿状核、顶盖和脾部对称的高强度区。这些异常在停药几天后几乎完全消失。甲硝唑常被用作抗寄生虫和抗菌药物,可导致神经毒性,特别是长时间使用时。停药后症状一般会好转。MRI对于诊断和随访至关重要,因为它可以检测到由于轴突肿胀和含水量增加而导致的大脑区域的特定变化。
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来源期刊
Oxford Medical Case Reports
Oxford Medical Case Reports MEDICINE, GENERAL & INTERNAL-
CiteScore
0.90
自引率
0.00%
发文量
125
审稿时长
19 weeks
期刊介绍: Oxford Medical Case Reports (OMCR) is an open access, peer-reviewed online journal publishing original and educationally valuable case reports that expand the field of medicine. The journal covers all medical specialities including cardiology, rheumatology, nephrology, oncology, neurology, and reproduction, comprising a comprehensive resource for physicians in all fields and at all stages of training. Oxford Medical Case Reports deposits all articles in PubMed Central (PMC). Physicians and researchers can find your work through PubMed , helping you reach the widest possible audience. The journal is also indexed in the Web of Science Core Collection . Oxford Medical Case Reports publishes case reports under the following categories: Allergy Audiovestibular medicine Cardiology and cardiovascular systems Critical care medicine Dermatology Emergency medicine Endocrinology and metabolism Gastroenterology and hepatology Geriatrics and gerontology Haematology Immunology Infectious diseases and tropical medicine Medical disorders in pregnancy Medical ophthalmology Nephrology Neurology Oncology Paediatrics Pain Palliative medicine Pharmacology and pharmacy Psychiatry Radiology, nuclear medicine, and medical imaging Respiratory disorders Rheumatology Sexual and reproductive health Sports Medicine Substance abuse.
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