甲尼达诱导的神经毒性:一个案例报告
Inês L Caetano1, Ana C Cunha2, Guiomar Pinheiro3
1Department of Infectious Diseases, Unidade Local de Saúde de Santo António, Porto, PRT.
Cureus
|March 3, 2026
概括
甲尼达 (一种抗生素) 在长时间使用时可能导致罕见的神经毒性. 停止服用该药物导致一个患有混乱和无氧症的患者的症状改善,突出了及时识别的必要性.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 传染性疾病 传染性疾病
背景情况:
- 甲尼达是一种广泛用于无氧和原生动物感染的抗生素.
- 长时间使用和高剂量的甲尼达很少会导致神经毒性.
- 肝是一种常见的适用于甲尼达治疗的征兆.
研究的目的:
- 报告一种由甲尼达诱导的神经毒性的病例.
- 强调考虑甲尼达作为神经症状的原因的重要性.
- 突出诊断发现和治疗结果.
主要方法:
- 一个70多岁的女性患者的病例报告,她因肝而接受治疗.
- 对神经系统症状的临床观察,包括混乱,无氧和双眼视.
- 停止使用甲尼达和监测神经恢复.
- 大脑MRI用T2和FLAIR序列来识别病变.
主要成果:
- 患者在长期服用美特罗尼达后出现了显著的神经缺陷.
- 在停止服用甲尼达后,神经症状逐渐改善.
- 大脑MRI揭示了一个特征性的病变,在体的体的,与metronidazole神经毒性相一致.
结论:
- 甲尼达诱导的神经毒性是一种罕见但严重的不良药物反应.
- 及时识别和停止使用甲尼达对于神经恢复至关重要.
- 在治疗期间出现新的神经症状的患者中,临床医生应保持对甲尼达神经毒性的高度怀疑指数.
更多相关视频
08:23Real-Time Impedance-based Cell Analyzer as a Tool to Delineate Molecular Pathways Involved in Neurotoxicity and Neuroprotection in a Neuronal Cell Line
Published on: August 9, 2014
10.7K
08:36Author Spotlight: Assessment of Environmental and Drug-Induced Behavioral Changes in Adult Zebrafish
Published on: November 3, 2023
2.5K
相关概念视频
Local Anesthetics: Adverse Effects
1.0K
While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
1.0K
Drug Toxicity: Overview
313
Drug toxicity quantifies the harm a compound causes to an organism, varying by dose and potentially impacting whole systems or specific organs like the liver. Toxic reactions may arise from venomous insect or spider bites, with effects ranging from mild symptoms to severe outcomes such as brain damage or death. Common forms of acute poisoning include ethanol intoxication and overdose of pain or fever medications, with substances like GHB and heroin being particularly lethal at doses close to...
313
Drug Toxicity: Risk factors
248
Adverse Drug Reactions (ADRs) are potential complications that arise during pharmacotherapy, influenced by multiple risk factors. Age plays a significant role; both neonates and the elderly are at heightened risk due to their respective immature and diminished metabolic and elimination processes. Gender also impacts ADRs, with females experiencing a 1.5 to 1.7-fold greater risk than males, which may be linked to pharmacokinetic, pharmacodynamic, and hormonal differences. Notably, neonates, the...
248
Drug Toxicity: Dose-Dependent Reactions
245
Drug toxicities can be stratified into pharmacological, pathological, or genotoxic based on their mechanisms. The incidence and severity of these toxicities generally increase with the drug's concentration in the body and exposure time.Pharmacological toxicity is evident when the therapeutic effects of drugs overshoot into adverse reactions in a predictable, dose-dependent manner. Central nervous system (CNS) depression from barbiturates is a classic example, with effects escalating from...
245
Diphtheria
187
Diphtheria is an acute, toxin-mediated infectious disease that primarily affects the upper respiratory tract. It is caused by Corynebacterium diphtheriae, a Gram-positive, pleomorphic rod that lacks spore-forming capability and exhibits a characteristic club-shaped morphology under microscopic examination. While C. diphtheriae can asymptomatically colonize mucosal surfaces, clinical disease manifests only when the bacterial strain is lysogenized by a specific β-corynephage. This phage...
187
Hepatic Encephalopathy
71
DefinitionHepatic encephalopathy is a reversible neurologic syndrome that results from advanced liver dysfunction or portosystemic shunting. It leads to disturbances in cognition, behavior, and motor function due to the brain’s exposure to gut-derived toxins that the liver fails to detoxify.EtiologyThis condition develops either in the setting of acute fulminant hepatitis or progressively during chronic liver disease, such as cirrhosis and portal hypertension. Portosystemic...
71
