Decelle L, Cosyns J P, Georges B, Jadoul M, Lefebvre C
Department of Internal Medicine, Universitaires Saint-Luc, Universit6écatholique de Louvain, Brussels, Belgium.
Clin Nephrol. 2007 Feb;67(2):105-8. doi: 10.5414/cnp67105.
We report the case of a 42-year-old man who developed biopsy-confirmed acute interstitial nephritis (AIN) after cocaine sniffing. He required a few hemodialysis sessions but fully recovered within 3 weeks after cocaine withdrawal and a short course of corticosteroids. AIN should be recognized as a potential cause of acute renal failure in cocaine users, and a history of cocaine use should be carefully elicited in patients with unexplained AIN.
我们报告了一例42岁男性病例,该患者在吸食可卡因后经活检确诊为急性间质性肾炎(AIN)。他需要进行几次血液透析,但在停用可卡因并接受短期皮质类固醇治疗后3周内完全康复。AIN应被视为可卡因使用者急性肾衰竭的潜在原因,对于原因不明的AIN患者,应仔细询问其可卡因使用史。