A 58-year-old man with cryptogenic cirrhosis was admitted to intensive care unit after a fall at home. He had been consuming prolonged course of metronidazole (500mg three times per day for ≥ 3 weeks) for Clostridium difficile infection. A few days before the fall, he had developed dysarthria and gait instability. On admission, the patient was intubated for airway protection and was sedated.
MRI of the brain scan showed a symmetric, enhanced fluid-attenuated inversion recovery signal in the dentate nuclei of the cerebellum. What could be the m ost likely cause of this condition? *This case is from Docplexus editorial team for educative purpose only. Source: NEJM
