Onuma Y, Oki M, Komatsu M, Ishitani S, Kijima K, Fukuda R, Moriya Y, Ozawa H, Takagi A. Irreversible metronidazole encephalopathy in an elderly woman with primary biliary cholangitis.
J Gen Fam Med 2017;
18:436-438. [PMID:
29264081 PMCID:
PMC5729387 DOI:
10.1002/jgf2.91]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2017] [Accepted: 04/27/2017] [Indexed: 12/05/2022] Open
Abstract
An 82‐year‐old woman with primary biliary cholangitis was diagnosed with an irreversible neurological disorder, caused by metronidazole (MNZ)‐induced encephalopathy. Although the disorder is a reversible pathological condition, in rare cases, it can cause serious sequelae or could even be fatal. Therefore, medications should be administered carefully, particularly in patients who require long‐term administration of large doses or those with liver dysfunction.
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