Nitroimidazole-Induced Reversible Neurotoxicity

The nitroimidazole group of drugs is commonly used in India and worldwide for diarrhea and other indications. People are taking it over the counter for their subsequent problems without consultation, and this is harmful to them on chronic use. Similarly, many indications such as amoebic liver absces...

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Bibliographic Details
Main Authors: Dinesh Chouksey, Amandeep Singh, Nitisha Goyal, Ajoy K. Sodani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-10-01
Series:Indian Journal of Medical Specialities
Subjects:
Online Access:https://journals.lww.com/10.4103/INJMS.INJMS_69_20
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Summary:The nitroimidazole group of drugs is commonly used in India and worldwide for diarrhea and other indications. People are taking it over the counter for their subsequent problems without consultation, and this is harmful to them on chronic use. Similarly, many indications such as amoebic liver abscess need long-duration therapy of these drugs which may present with its toxic effects. We report two cases of metronidazole and ornidazole overuse presented as central and peripheral nervous system toxicity. The magnetic resonance imaging changes similar to nitroimidazole drug toxicity can be seen in many other diseases, and it needs to correlate with a good history for the diagnosis to avoid unnecessary workup burden to the patient.
ISSN:0976-2884
0976-2892