A Case of Acute Kidney Injury in a Patient with Pulmonary Tuberculosis Receiving Ethambutol Therapy / 대한내과학회지
Korean Journal of Medicine
;
: 352-356, 2014.
Article
Dans Coréen
| WPRIM
| ID: wpr-63186
ABSTRACT
Ethambutol is commonly used as a first-line drug for the treatment of tuberculosis. The most serious adverse effect of ethambutol therapy is optic neuropathy. However, ethambutol-induced acute kidney injury is extremely rare. We report herein a case of acute kidney injury secondary to ethambutol-associated acute interstitial nephritis. A 65-year-old man with pulmonary tuberculosis presented with a > 7-day history of nausea and vomiting. He had begun antituberculosis medications including ethambutol 3 weeks previously. His laboratory findings showed elevated blood urea nitrogen and serum creatinine levels (32.6 and 3.6 mg/dL, respectively). Examination of percutaneous renal biopsy specimens showed diffuse interstitial mononuclear cell infiltration with mild interstitial edema. The patient was treated by cessation of ethambutol and supportive care. His renal function completely recovered (creatinine, 1.1 mg/dL) and his clinical symptoms improved.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Tuberculose
/
Tuberculose pulmonaire
/
Vomissement
/
Biopsie
/
Azote uréique sanguin
/
Atteintes du nerf optique
/
Créatinine
/
Oedème
/
Éthambutol
/
Atteinte rénale aigüe
Limites du sujet:
Adulte très âgé
/
Humains
langue:
Coréen
Texte intégral:
Korean Journal of Medicine
Année:
2014
Type:
Article
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