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We are writing in regard to the recently published case report by Choví-Trull and colleagues, who described a 53-year-old man with a history of alcohol dependency, bipolar disorder and recurrent diverticulitis. He presented with confusion, tremor, rigidity and a tonic-clonic seizure after 3 days of treatment with metronidazole and ciprofloxacin. On discontinuation of disulfiram and both antibiotics, and substitution with amoxicillin/clavulanic acid, the patient fully recovered.1