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metronidazole and Encephalopathy, Toxic

metronidazole has been researched along with Encephalopathy, Toxic in 33 studies

Metronidazole: A nitroimidazole used to treat AMEBIASIS; VAGINITIS; TRICHOMONAS INFECTIONS; GIARDIASIS; ANAEROBIC BACTERIA; and TREPONEMAL INFECTIONS.
metronidazole : A member of the class of imidazoles substituted at C-1, -2 and -5 with 2-hydroxyethyl, nitro and methyl groups respectively. It has activity against anaerobic bacteria and protozoa, and has a radiosensitising effect on hypoxic tumour cells. It may be given by mouth in tablets, or as the benzoate in an oral suspension. The hydrochloride salt can be used in intravenous infusions. Metronidazole is a prodrug and is selective for anaerobic bacteria due to their ability to intracellularly reduce the nitro group of metronidazole to give nitroso-containing intermediates. These can covalently bind to DNA, disrupting its helical structure, inducing DNA strand breaks and inhibiting bacterial nucleic acid synthesis, ultimately resulting in bacterial cell death.

Research Excerpts

ExcerptRelevanceReference
"A 53-year-old male patient developed insidious onset of length-dependent painful neuropathy on a background of encephalopathy during prolonged treatment with metronidazole for a cumulative dose of 146 g in 88 days."7.77Painful neuropathy due to skin denervation after metronidazole-induced neurotoxicity. ( Chao, CC; Chen, CC; Chen, YF; Hsieh, ST; Liou, HH; Tan, CH, 2011)
"Metronidazole is an antimicrobial agent commonly used in the treatment of several protozoal and anaerobic infections."5.48Metronidazole-induced encephalopathy in a patient with pyogenic spondylitis: a case report. ( Kobatake, T; Mawatari, M; Mizuta, K; Morimoto, T; Nakayama, D; Nozaki, O; Sonohata, M, 2018)
"A 53-year-old male patient developed insidious onset of length-dependent painful neuropathy on a background of encephalopathy during prolonged treatment with metronidazole for a cumulative dose of 146 g in 88 days."3.77Painful neuropathy due to skin denervation after metronidazole-induced neurotoxicity. ( Chao, CC; Chen, CC; Chen, YF; Hsieh, ST; Liou, HH; Tan, CH, 2011)
"Metronidazole is an antibiotic widely used in different medical conditions such as trichomoniasis, amoebiasis, and giardiasis among others."2.61Therapeutic uses of metronidazole and its side effects: an update. ( Hernández Ceruelos, A; López Contreras, L; Romero-Quezada, LC; Ruvalcaba Ledezma, JC, 2019)
"Metronidazole is a widely used antibiotic against bacterial and protozoan infections."1.62Metronidazole Induced Cerebellar Toxicity: A Case Report. ( Dhungana, K; Niroula, A; Prajapati, R; Sapkota, S; Sharma, S, 2021)
"Related neurological adverse effects to metronidazole are rarely encountered in clinical practice despite its wide use as an antibacterial or antiparasitic agent."1.56Neurological complications during treatment of liver abscess: think of metronidazole toxicity. ( Arora, N; Babbar, N; Pannu, AK; Saroch, A; Sharma, N; Wasti, KP, 2020)
"Metronidazole, a nitroimidazole derived antibiotic used to treat many bacterial infections, is reported to penetrate the blood brain barrier after long term administration resulting into neuronal toxicity."1.56Mechanistic exploration of quercetin against metronidazole induced neurotoxicity in rats: Possible role of nitric oxide isoforms and inflammatory cytokines. ( Chaturvedi, S; Gupta, P; Malik, MY; Rashid, M; Shukla, S; Singh, S; Tiwari, V; Wahajuddin, M, 2020)
"Neurotoxicity is a rare but significant side effect of metronidazole."1.51Garbled speech: a rare presentation of metronidazole-induced neurotoxicity. ( Cheema, MA; Salman, F; Ullah, W; Zain, MA, 2019)
"Metronidazole is a commonly used antimicrobial worldwide."1.48Reversible metronidazole-induced neurotoxicity after 10 weeks of therapy. ( AlDhaleei, W; AlMarzooqi, A; Gaber, N, 2018)
"Metronidazole is an antimicrobial agent commonly used in the treatment of several protozoal and anaerobic infections."1.48Metronidazole-induced encephalopathy in a patient with pyogenic spondylitis: a case report. ( Kobatake, T; Mawatari, M; Mizuta, K; Morimoto, T; Nakayama, D; Nozaki, O; Sonohata, M, 2018)
"Metronidazole is an antibacterial, antiprotozoal and anthelmintic medication commonly used in veterinary medicine."1.48Metronidazole-induced neurotoxicity in 26 dogs. ( Beltran, E; Cherubini, GB; Coelho, AT; Driver, CJ; Rusbridge, CJ; Tauro, A; Wessmann, A, 2018)
"Metronidazole is an antimicrobial used for the treatment of anaerobic bacterial and protozoal infections."1.43Metronidazole Induced Encephalopathy. ( Chand, R; Mahavar, S; Palawat, A; Sharma, R; Srivastava, S; Thakkar, N, 2016)
"Metronidazole (Flagyl®) is an antimicrobial agent commonly used in clinical practice."1.39Neurologic complications of metronidazole. ( Brownell, AK; Furtado, S; Sarna, JR, 2013)
" In this pictorial essay, we review the two most common brain injury patterns, posterior reversible encephalopathy syndrome (PRES) and acute toxic leukoencephalopathy (ATL)."1.37Medication neurotoxicity in children. ( Chaturvedi, A; Ishak, GE; Iyer, RS; Khanna, PC; Pruthi, S, 2011)

Research

Studies (33)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's5 (15.15)29.6817
2010's20 (60.61)24.3611
2020's8 (24.24)2.80

Authors

AuthorsStudies
Quickfall, D1
Daneman, N1
Dmytriw, AA1
Juurlink, DN1
Sapkota, S1
Niroula, A1
Prajapati, R1
Sharma, S1
Dhungana, K1
Arora, N1
Wasti, KP1
Babbar, N1
Saroch, A1
Pannu, AK1
Sharma, N1
Chaturvedi, S1
Malik, MY1
Rashid, M1
Singh, S2
Tiwari, V1
Gupta, P1
Shukla, S1
Wahajuddin, M1
Oliveira, LP1
Marques, PT1
Lange, MC1
Mach, JC1
Russell, J1
Muir, RT1
Mercado, M1
Walter, VR1
Singhal, N1
Kwan, P1
Kucharczyk, W1
Stall, NM1
Carlen, PL1
John, KJ1
P Pillai, D1
Pillai, V1
John, JK1
AlDhaleei, W1
AlMarzooqi, A1
Gaber, N1
Lefkowitz, A1
Shadowitz, S1
Mizuta, K1
Sonohata, M1
Nozaki, O1
Kobatake, T1
Nakayama, D1
Morimoto, T1
Mawatari, M1
Tauro, A1
Beltran, E1
Cherubini, GB1
Coelho, AT1
Wessmann, A1
Driver, CJ1
Rusbridge, CJ1
Hernández Ceruelos, A1
Romero-Quezada, LC1
Ruvalcaba Ledezma, JC1
López Contreras, L1
Cheema, MA1
Salman, F1
Ullah, W1
Zain, MA1
Ueno, T1
Ito, M1
Arai, A1
Suzuki, C1
Tomiyama, M1
Guiard, E1
Lelievre, B1
Rouyer, M1
Zerbib, F1
Diquet, B1
Mégraud, F1
Tison, F1
Bignon, E1
Lassalle, R1
Droz-Perroteau, C1
Moore, N1
Blin, P1
Sarna, JR1
Furtado, S1
Brownell, AK1
Mehndiratta, MM2
Pandey, S1
Nayak, R1
Lakshmi, GS1
Cação, G1
Fontes, S1
Salgado, M1
Rodrigues, T1
Damásio, J1
Bonda, C1
Evans, MS1
Vivas, LLY1
Gold, WL1
Mandell, DM1
Wu, PE1
Agah, E1
Habibi, A1
Naderi, H1
Tafakhori, A1
Thakkar, N1
Chand, R1
Sharma, R1
Mahavar, S1
Srivastava, S1
Palawat, A1
Tan, CH1
Chen, YF1
Chen, CC1
Chao, CC1
Liou, HH1
Hsieh, ST1
Khodakaram, K1
Barmano, N1
Iyer, RS1
Chaturvedi, A1
Pruthi, S1
Khanna, PC1
Ishak, GE1
Heaney, CJ1
Campeau, NG1
Lindell, EP1
Gupta, AK1
Agarwal, MP1
Avasthi, R1
Bhadoria, DP1
Rohatgi, N1
Deenadayalu, VP1
Orinion, EJ1
Chalasani, NP1
Yoo, HY1
Pham, CQ1
Thirion, DJ1
Gupta, BS1
Baldwa, S1
Verma, S1
Gupta, JB1
Singhal, A1

Reviews

1 review available for metronidazole and Encephalopathy, Toxic

ArticleYear
Therapeutic uses of metronidazole and its side effects: an update.
    European review for medical and pharmacological sciences, 2019, Volume: 23, Issue:1

    Topics: Animals; Antiprotozoal Agents; Carcinogenesis; Disease Models, Animal; DNA Damage; Drug Utilization;

2019

Other Studies

32 other studies available for metronidazole and Encephalopathy, Toxic

ArticleYear
Metronidazole-induced neurotoxicity.
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2021, 10-25, Volume: 193, Issue:42

    Topics: Anti-Infective Agents; Humans; Metronidazole; Neurotoxicity Syndromes; Peripheral Nervous System Dis

2021
Metronidazole Induced Cerebellar Toxicity: A Case Report.
    JNMA; journal of the Nepal Medical Association, 2021, Sep-11, Volume: 59, Issue:241

    Topics: Anti-Bacterial Agents; Brain Diseases; Humans; Magnetic Resonance Imaging; Male; Metronidazole; Neur

2021
Neurological complications during treatment of liver abscess: think of metronidazole toxicity.
    Tropical doctor, 2020, Volume: 50, Issue:2

    Topics: Antiprotozoal Agents; Humans; Liver Abscess, Amebic; Magnetic Resonance Imaging; Male; Metronidazole

2020
Mechanistic exploration of quercetin against metronidazole induced neurotoxicity in rats: Possible role of nitric oxide isoforms and inflammatory cytokines.
    Neurotoxicology, 2020, Volume: 79

    Topics: Animals; Anti-Inflammatory Agents; Apoptosis Regulatory Proteins; Brain; Cytokines; Disease Models,

2020
Metronidazole neurotoxicity in late liver transplantation.
    Arquivos de neuro-psiquiatria, 2020, Volume: 78, Issue:5

    Topics: Brain; Humans; Liver Transplantation; Metronidazole; Neurotoxicity Syndromes

2020
A combined case of wernicke and metronidazole induced encephalopathy? Overlapping pathophysiologic pathways and MR imaging features.
    Clinical neurology and neurosurgery, 2020, Volume: 196

    Topics: Aged; Anti-Infective Agents; Brain; Humans; Magnetic Resonance Imaging; Male; Metronidazole; Neuroto

2020
Ataxia and Parkinsonism in Metronidazole Neurotoxicity.
    The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques, 2021, Volume: 48, Issue:2

    Topics: Ataxia; Brain Diseases; Cerebellar Ataxia; Humans; Magnetic Resonance Imaging; Metronidazole; Neurot

2021
Metronidazole-induced reversible cerebellar dysfunction.
    BMJ case reports, 2021, Feb-01, Volume: 14, Issue:2

    Topics: Aged; Anti-Bacterial Agents; Ataxia; Cerebellar Diseases; Cerebellar Nuclei; Duration of Therapy; Dy

2021
Reversible metronidazole-induced neurotoxicity after 10 weeks of therapy.
    BMJ case reports, 2018, Apr-20, Volume: 2018

    Topics: Adult; Amoxicillin-Potassium Clavulanate Combination; Anti-Infective Agents; beta-Lactamase Inhibito

2018
Reversible cerebellar neurotoxicity induced by metronidazole.
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2018, 08-13, Volume: 190, Issue:32

    Topics: Anti-Bacterial Agents; Brain; Cerebellum; Humans; Magnetic Resonance Imaging; Male; Metronidazole; M

2018
Metronidazole-induced encephalopathy in a patient with pyogenic spondylitis: a case report.
    BMC musculoskeletal disorders, 2018, Sep-18, Volume: 19, Issue:1

    Topics: Aged, 80 and over; Anti-Bacterial Agents; Diffusion Magnetic Resonance Imaging; Female; Gram-Positiv

2018
Metronidazole-induced neurotoxicity in 26 dogs.
    Australian veterinary journal, 2018, Volume: 96, Issue:12

    Topics: Animals; Anti-Infective Agents; Brain; Dog Diseases; Dogs; Female; Magnetic Resonance Imaging; Male;

2018
Garbled speech: a rare presentation of metronidazole-induced neurotoxicity.
    BMJ case reports, 2019, Mar-01, Volume: 12, Issue:3

    Topics: Adult; Anti-Infective Agents; Diagnosis, Differential; Humans; Male; Metronidazole; Neurotoxicity Sy

2019
Convulsive seizures caused by metronidazole-induced encephalopathy.
    Postgraduate medical journal, 2019, Volume: 95, Issue:1122

    Topics: Abdominal Abscess; Anti-Infective Agents; Brain Diseases; Cerebellar Nuclei; Humans; Magnetic Resona

2019
Bismuth Concentrations in Patients Treated in Real-Life Practice with a Bismuth Subcitrate-Metronidazole-Tetracycline Preparation: The SAPHARY Study.
    Drug safety, 2019, Volume: 42, Issue:8

    Topics: Aged; Bismuth; Cohort Studies; Drug Combinations; Female; Helicobacter Infections; Helicobacter pylo

2019
Neurologic complications of metronidazole.
    The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques, 2013, Volume: 40, Issue:6

    Topics: Anti-Infective Agents; Humans; Metronidazole; Neurotoxicity Syndromes

2013
Metronidazole encephalopathy.
    The Journal of the Association of Physicians of India, 2013, Volume: 61, Issue:7

    Topics: Adult; Anti-Infective Agents; Brain; Humans; Magnetic Resonance Imaging; Male; Metronidazole; Neurot

2013
Metronidazole encephalopathy.
    The Journal of the Association of Physicians of India, 2014, Volume: 62, Issue:10

    Topics: Anti-Infective Agents; Humans; Male; Metronidazole; Neurotoxicity Syndromes

2014
Reply from author.
    The Journal of the Association of Physicians of India, 2014, Volume: 62, Issue:10

    Topics: Anti-Infective Agents; Humans; Male; Metronidazole; Neurotoxicity Syndromes

2014
Metronidazole-induced central and peripheral nervous system toxicity.
    Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2015, Volume: 36, Issue:9

    Topics: Adult; Anti-Infective Agents; Brain; Crohn Disease; Female; Follow-Up Studies; Humans; Metronidazole

2015
Metronidazole CNS toxicity.
    Acta neurologica Belgica, 2015, Volume: 115, Issue:4

    Topics: Anti-Infective Agents; Central Nervous System; Diffusion Magnetic Resonance Imaging; Humans; Male; M

2015
An 82-year-old man with ataxia and dysarthria.
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2016, Dec-06, Volume: 188, Issue:17-18

    Topics: Aged, 80 and over; Anti-Infective Agents; Ataxia; Brain; Cerebellar Nuclei; Diabetes Mellitus, Type

2016
Metronidazole-induced neurotoxicity presenting with sudden bilateral hearing loss, encephalopathy, and cerebellar dysfunction.
    European journal of clinical pharmacology, 2017, Volume: 73, Issue:2

    Topics: Adult; Anti-Bacterial Agents; Brain Diseases; Female; Hearing Loss, Bilateral; Helicobacter Infectio

2017
Metronidazole Induced Encephalopathy.
    The Journal of the Association of Physicians of India, 2016, Volume: 64, Issue:11

    Topics: Adult; Anti-Infective Agents; Humans; Male; Metronidazole; Neurotoxicity Syndromes

2016
Painful neuropathy due to skin denervation after metronidazole-induced neurotoxicity.
    Journal of neurology, neurosurgery, and psychiatry, 2011, Volume: 82, Issue:4

    Topics: Denervation; Humans; Magnetic Resonance Imaging; Male; Metronidazole; Middle Aged; Neural Conduction

2011
Uncommon reaction to a common prescription.
    Lancet (London, England), 2011, Jul-16, Volume: 378, Issue:9787

    Topics: Abdominal Abscess; Anti-Infective Agents; Appendix; Brain; Delayed Diagnosis; Humans; Magnetic Reson

2011
Medication neurotoxicity in children.
    Pediatric radiology, 2011, Volume: 41, Issue:11

    Topics: Adolescent; Angiogenesis Inhibitors; Anti-Infective Agents; Antibodies, Monoclonal, Humanized; Bevac

2011
MR imaging and diffusion-weighted imaging changes in metronidazole (Flagyl)-induced cerebellar toxicity.
    AJNR. American journal of neuroradiology, 2003, Volume: 24, Issue:8

    Topics: Abdominal Abscess; Abdominal Neoplasms; Aged; Amoxicillin; Anti-Infective Agents; Carcinoid Tumor; C

2003
Metrondazole-induced neurotoxicity.
    The Journal of the Association of Physicians of India, 2003, Volume: 51

    Topics: Anti-Infective Agents; Brain; Humans; Male; Metronidazole; Middle Aged; Neurotoxicity Syndromes; Tom

2003
Abnormal enhancing lesion of dentate nuclei causing neurologic symptoms induced by metronidazole toxicity.
    Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2005, Volume: 3, Issue:3

    Topics: Anti-Infective Agents; Cerebellar Nuclei; Hepatic Encephalopathy; Humans; Magnetic Resonance Imaging

2005
The art of assessing metronidazole toxicity.
    Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2006, Volume: 4, Issue:9

    Topics: Anti-Infective Agents; Humans; Metronidazole; Neurotoxicity Syndromes

2006
Metronidazole induced neuropathy.
    Neurology India, 2000, Volume: 48, Issue:2

    Topics: Adult; Antiprotozoal Agents; Humans; Liver Abscess, Amebic; Male; Metronidazole; Neurotoxicity Syndr

2000