Reversible metronidazole-induced subacute cerebellar syndrome.
A 59-year-old man was admitted to medical service for persistent nausea and vomiting. Previous medical history was significant for a Whipple's procedure, post resection of a pancreatic uncinate neuroendocrine tumor, which was then complicated by an intra-abdominal infection, for which he was being treated with a combination of parenteral and oral ciprofloxacin (500 mg twice a day) and metronidazole (400 mg thrice a day) since four weeks. Intestinal obstruction and worsening intra-abdominal sepsis were excluded, and the antibiotics …