Case Report: Vancomycin-Associated Tubulointerstitial Nephritis in Clinical Practice-Case Report and Review of Literature

Nephrotoxicity is one of the major limiting factors for vancomycin use. The most common histological patterns of kidney injury are acute tubulointerstitial nephritis and acute tubular necrosis. Patients who develop acute tubulointerstitial nephritis are prone to develop acute kidney injury with vanc...

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Main Authors: Lakshmi Kannan, Rishi Raj
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2022.899886/full
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author Lakshmi Kannan
Rishi Raj
author_facet Lakshmi Kannan
Rishi Raj
author_sort Lakshmi Kannan
collection DOAJ
description Nephrotoxicity is one of the major limiting factors for vancomycin use. The most common histological patterns of kidney injury are acute tubulointerstitial nephritis and acute tubular necrosis. Patients who develop acute tubulointerstitial nephritis are prone to develop acute kidney injury with vancomycin rechallenge and, in most cases, present alone or as a part of Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS). The purpose of the review study is to identify biopsy-proven vancomycin-associated-tubulointerstitial nephritis in literature, determine possible underlying pathophysiology and identify the consequences of vancomycin rechallenge in such patients.
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spelling doaj.art-07109e967d4b403bbd3e6630435a19e72022-12-22T03:36:10ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-05-01910.3389/fmed.2022.899886899886Case Report: Vancomycin-Associated Tubulointerstitial Nephritis in Clinical Practice-Case Report and Review of LiteratureLakshmi Kannan0Rishi Raj1Department of Internal Medicine, Division of Nephrology, Pikeville Medical Center, Pikeville, KY, United StatesDepartment of Internal Medicine, Pikeville Medical Center, Pikeville, KY, United StatesNephrotoxicity is one of the major limiting factors for vancomycin use. The most common histological patterns of kidney injury are acute tubulointerstitial nephritis and acute tubular necrosis. Patients who develop acute tubulointerstitial nephritis are prone to develop acute kidney injury with vancomycin rechallenge and, in most cases, present alone or as a part of Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS). The purpose of the review study is to identify biopsy-proven vancomycin-associated-tubulointerstitial nephritis in literature, determine possible underlying pathophysiology and identify the consequences of vancomycin rechallenge in such patients.https://www.frontiersin.org/articles/10.3389/fmed.2022.899886/fullvancomycinacute interstitial nephritisnephrotoxicityMRSAkidney biopsy
spellingShingle Lakshmi Kannan
Rishi Raj
Case Report: Vancomycin-Associated Tubulointerstitial Nephritis in Clinical Practice-Case Report and Review of Literature
Frontiers in Medicine
vancomycin
acute interstitial nephritis
nephrotoxicity
MRSA
kidney biopsy
title Case Report: Vancomycin-Associated Tubulointerstitial Nephritis in Clinical Practice-Case Report and Review of Literature
title_full Case Report: Vancomycin-Associated Tubulointerstitial Nephritis in Clinical Practice-Case Report and Review of Literature
title_fullStr Case Report: Vancomycin-Associated Tubulointerstitial Nephritis in Clinical Practice-Case Report and Review of Literature
title_full_unstemmed Case Report: Vancomycin-Associated Tubulointerstitial Nephritis in Clinical Practice-Case Report and Review of Literature
title_short Case Report: Vancomycin-Associated Tubulointerstitial Nephritis in Clinical Practice-Case Report and Review of Literature
title_sort case report vancomycin associated tubulointerstitial nephritis in clinical practice case report and review of literature
topic vancomycin
acute interstitial nephritis
nephrotoxicity
MRSA
kidney biopsy
url https://www.frontiersin.org/articles/10.3389/fmed.2022.899886/full
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