title: Metrizamide meningitis.
abstract: A 39-year-old man had fever, nuchal rigidity, vomiting, and mental confusion within 24 hours after myelography with metrizamide, a water-soluble contrast medium. Cloudy cerebrospinal fluid showing pleocytosis, a significantly elevated level of protein, and a low glucose value suggested septic meningitis, but rapid resolution of signs of meningeal irritation and negative spinal fluid cultures made chemical meningitis due to the metrizamide the likely diagnosis.
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D008581:Meningitis / Q000139:chemically induced*; D008793:Metrizamide / Q000009:adverse effects*; D009192:Myelography / Q000009:adverse effects*
chemical_list: D008793:Metrizamide