Allergic nephropathy associated with norfloxacin and ciprofloxacin therapy - Report of two cases and review of the literature

Allergic nephropathy associated with norfloxacin and ciprofloxacin therapy - Report of two cases and review of the literature
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DOI:
10.3109/00365599709030647
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发表时间:
1997-10-01
影响因子:
--
通讯作者:
Lindell, A
Lindell, A
中科院分区:
其他
文献类型:
--
作者:
Hadimeri, H;Almroth, G;Lindell, A

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与喹诺酮类抗生素相关的变应性肾病的报告越来越多。其机制可能是超敏反应。诺氟沙星以前仅被认为是一次病因,急性间质性肾炎(AIN)是组织病理学发现。在28例病例中报告了环丙沙星相关肾病,AIN是主要的组织病理学发现。本报告描述了与诺氟沙星治疗相关的第二例AIN和另一例环丙沙星相关的肾间质药物不良反应。临床医生应了解喹诺酮类药物相关AIN,这是一种罕见但具有潜在危险的肾脏并发症。
Allergic nephropathy associated with quinolone antibiotics has been reported in an increasing number of cases. The mechanism might be a hypersensitivity reaction. Norfloxacin has been incriminated previously as a cause once only, with acute interstitial nephritis (AIN) as the histopathological finding. Ciprofloxacin-associated nephropathy has been reported in 28 cases, with AIN as the main histopathological finding. This report describes a second case of AIN associated with norfloxacin treatment and another ciprofloxacin-associated renal interstitial drug adverse reaction. Clinicians should be aware of quinolone-associated AIN, which is a rare but potentially dangerous renal complication.