[Skip to Navigation]
Views 3,175
Citations 0
Images in Neurology
August 10, 2020

A Case of Topical Metronidazole–Induced Encephalopathy

Author Affiliations
  • 1Department of Radiology, Rajagiri Hospital, Aluva, Kochi, Kerala, India
JAMA Neurol. 2020;77(10):1318-1319. doi:10.1001/jamaneurol.2020.2596

A 41-year-old man with quadriparesis who had been bedbound for 12 years following a road traffic crash and had multiple decubitus ulcers presented to our emergency department with complaints of 2 days of slurring of speech and facial deviation with 1 seizure episode. He had a history of type 2 diabetes. On physical examination, he was conscious and oriented, had slurring of speech, was able to obey simple commands, and had no meningeal signs. His pulse rate was 101 beats per minute, and his blood pressure was 120/80 mm Hg.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words