Essid A, Allani-Essid N, Rubinsztajn R, Estournet B, Bataille J
Service de réanimation pédiatrique, hôpital Raymond-Poincaré, Assistance publique-Hôpitaux de Paris, 104, boulevard Raymond-Poincaré, 92380 Garches, France.
Arch Pediatr. 2010 Nov;17(11):1559-61. doi: 10.1016/j.arcped.2010.08.014. Epub 2010 Sep 28.
Acute interstitial nephritis accounts for about 10 % of the cases of acute renal failure. An adverse drug reaction caused by an immunoallergic mechanism is suggested when fever, skin rash, eosinophilia, and eosinophiluria are associated. The outcome is favorable after withdrawal of drug therapy in most cases. We report a case of acute interstitial nephritis induced by immunoallergic drug mechanisms, in a 3-week-old infant who presented with acute renal failure associated with eosinophilia and hepatitis and who had received cefotaxime and gentamicin. The patient's progression was favorable with normalization of renal and liver function 1 week after suspension of antibiotic drugs.
急性间质性肾炎约占急性肾衰竭病例的10%。当伴有发热、皮疹、嗜酸性粒细胞增多和嗜酸性粒细胞尿时,提示由免疫过敏机制引起的药物不良反应。在大多数情况下,停药后预后良好。我们报告一例3周龄婴儿因免疫过敏药物机制诱发急性间质性肾炎的病例,该婴儿出现急性肾衰竭并伴有嗜酸性粒细胞增多和肝炎,并接受过头孢噻肟和庆大霉素治疗。停用抗生素药物1周后,患者肾功能和肝功能恢复正常,病情进展良好。