Metronidazole is a widely used antiprotozoal drug prescribed for infections with Trichomonas vaginalis, Giardia lamblia, Entamoeba histolytica, and Gardnerella vaginalis as well as for generalized anaerobic infections. We report a case of recurrent pancreatitis associated with metronidazole-treated Gardnerella vaginalis infections.
A previously healthy, obese, 23-year-old black woman was hospitalized after 4 days of epigastric, right upper quandrant, and back pain, associated with anorexia, nausea, and low-grade fever. The patient had previously been treated twice for gonorrhea salpingitis and three times for pneumonia. She denied a personal or family history of pancreatitis, gallbladder disease, liver disease, or hyperlipidemias. She reported only