Metronidazole is a nitroimidazole antibacterial agent that is highly effective for the treatment of protozoal and anaerobic infections. Metronidazole is known to cause hematologic adverse effects, including a reversible mild neutropenia; in rare circumstances, thrombocytopenia has been associated with metronidazole treatment. We present a case of aplastic anemia related to the extended use of metronidazole.
JimenezJJArimuraGKAbou-KhalilWH, et al.Chloramphenicol-induced bone marrow injury: possible role of bacterial metabolites of chloramphenicol. Blood. 1987;70(4):1180–1185.
10.
El-NahasAFel-AshmawyIM. Reproductive and cytogenetic toxicity of metronidazole in male mice. Basic Clin Pharmacol Toxicol. 2004;94(5):226–231.
11.
MenéndezDRojasEHerreraLA, et al.DNA breakage due to metronidazole treatment. Mutat Res. 2001;478:153–158.