Exacerbation of chronic renal failure because of inhaled tobramycin in a lung transplant patient

61-year-old man, with a history of years of unknown etiology bronchiectasis, with chronic bronchial infection by Burkholderia multivorans, who received treatment with a double lung transplant on 08/20/2020. Persistent positive cultures of Burkholderia multivorans after transplant in respiratory samp...

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Main Authors: Víctor M. Mora Cuesta, Noelia Borja Vargas, David Iturbe Fernández, Sandra Tello Mena, José M. Cifrián Martínez
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:Respiratory Medicine Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007122000065
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author Víctor M. Mora Cuesta
Noelia Borja Vargas
David Iturbe Fernández
Sandra Tello Mena
José M. Cifrián Martínez
author_facet Víctor M. Mora Cuesta
Noelia Borja Vargas
David Iturbe Fernández
Sandra Tello Mena
José M. Cifrián Martínez
author_sort Víctor M. Mora Cuesta
collection DOAJ
description 61-year-old man, with a history of years of unknown etiology bronchiectasis, with chronic bronchial infection by Burkholderia multivorans, who received treatment with a double lung transplant on 08/20/2020. Persistent positive cultures of Burkholderia multivorans after transplant in respiratory samples was observed, and treatment with inhaled tobramycin 300 mg/12 hours was started. One month after treatment, a significant worsening of renal function was observed, which was already altered, and toxic levels of tobramycin were measured in blood samples 12 hours after the last inhaled administration. After stopping treatment, kidney function returned to its baseline values.
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spelling doaj.art-7360e2b2911a4e478c011ff68e1aa4bf2022-12-21T18:52:53ZengElsevierRespiratory Medicine Case Reports2213-00712022-01-0136101584Exacerbation of chronic renal failure because of inhaled tobramycin in a lung transplant patientVíctor M. Mora Cuesta0Noelia Borja Vargas1David Iturbe Fernández2Sandra Tello Mena3José M. Cifrián Martínez4Corresponding author. Marqués de Valdecilla University Hospital, Pneumology department, Lung Transplant Unit, Avda. Valdecilla n° 25, ZP: 39008, Santander, Cantabria, Spain.; Marqués de Valdecilla University Hospital, Pneumology department, Lung Transplant Unit, Avda. Valdecilla n° 25, ZP: 39008, Santander, Cantabria, SpainMarqués de Valdecilla University Hospital, Pneumology department, Lung Transplant Unit, Avda. Valdecilla n° 25, ZP: 39008, Santander, Cantabria, SpainMarqués de Valdecilla University Hospital, Pneumology department, Lung Transplant Unit, Avda. Valdecilla n° 25, ZP: 39008, Santander, Cantabria, SpainMarqués de Valdecilla University Hospital, Pneumology department, Lung Transplant Unit, Avda. Valdecilla n° 25, ZP: 39008, Santander, Cantabria, SpainMarqués de Valdecilla University Hospital, Pneumology department, Lung Transplant Unit, Avda. Valdecilla n° 25, ZP: 39008, Santander, Cantabria, Spain61-year-old man, with a history of years of unknown etiology bronchiectasis, with chronic bronchial infection by Burkholderia multivorans, who received treatment with a double lung transplant on 08/20/2020. Persistent positive cultures of Burkholderia multivorans after transplant in respiratory samples was observed, and treatment with inhaled tobramycin 300 mg/12 hours was started. One month after treatment, a significant worsening of renal function was observed, which was already altered, and toxic levels of tobramycin were measured in blood samples 12 hours after the last inhaled administration. After stopping treatment, kidney function returned to its baseline values.http://www.sciencedirect.com/science/article/pii/S2213007122000065Lung transplantationRenal failureInhaled tobramycin
spellingShingle Víctor M. Mora Cuesta
Noelia Borja Vargas
David Iturbe Fernández
Sandra Tello Mena
José M. Cifrián Martínez
Exacerbation of chronic renal failure because of inhaled tobramycin in a lung transplant patient
Respiratory Medicine Case Reports
Lung transplantation
Renal failure
Inhaled tobramycin
title Exacerbation of chronic renal failure because of inhaled tobramycin in a lung transplant patient
title_full Exacerbation of chronic renal failure because of inhaled tobramycin in a lung transplant patient
title_fullStr Exacerbation of chronic renal failure because of inhaled tobramycin in a lung transplant patient
title_full_unstemmed Exacerbation of chronic renal failure because of inhaled tobramycin in a lung transplant patient
title_short Exacerbation of chronic renal failure because of inhaled tobramycin in a lung transplant patient
title_sort exacerbation of chronic renal failure because of inhaled tobramycin in a lung transplant patient
topic Lung transplantation
Renal failure
Inhaled tobramycin
url http://www.sciencedirect.com/science/article/pii/S2213007122000065
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