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KMID : 1144720180220030200
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Investigative Magnetic Resonance Imaging
2018 Volume.22 No. 3 p.200 ~ p.203
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A Case of Metronidazole-Induced Encephalopathy: Atypical Involvement of the Brain on MRI
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Hwang Eun-Jin
Chang Suk-Ki
Lee Seun-Ah
Choi Jung-Ah
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Abstract
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Metronidazole is an antimicrobial agent widely used for the treatment of anaerobic infection or antibiotics-associated diarrhea. It is generally thought to be safe, but can induce reversible toxic encephalopathy in the case of excessive or cumulative over-dose. Metronidazole-induced encephalopathy generally demonstrates the characteristic features of typical lesion location and bilaterality on magnetic resonance imaging (MRI). We report a case of metronidazole-induced encephalopathy with the involvement of asymmetric white matter. To our knowledge, only a few cases have been reported with respect to white matter lesion characteristics on MRI with diffusion-weighted images.
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KEYWORD
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Metronidazole, White matter abnormality, Magnetic resonance imaging
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