Müller P A, Amann K, Bröcker E-B, Trautmann A
Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Würzburg, Josef-Schneider-Str. 2, 97080, Würzburg, Deutschland.
Hautarzt. 2012 Mar;63(3):223-5. doi: 10.1007/s00105-011-2233-7.
Acute renal failure caused by interstitial nephritis as part of a drug hypersensitivity syndrome constitutes a rare, but potentially life-threatening adverse drug reaction. We describe a patient with a mild maculo-papular rash accompanied by eosinophilia after prolonged treatment with meropenem, vancomycin, and moxifloxacin. Subsequently, a rapidly progressing renal failure developed which dominated the clinical picture. Upon cessation of all suspected drugs and therapy with high-dose steroids for 6 weeks, the renal function slowly returned to normal.
作为药物超敏反应综合征一部分的间质性肾炎所致急性肾衰竭是一种罕见但可能危及生命的药物不良反应。我们描述了一名患者,在用美罗培南、万古霉素和莫西沙星长期治疗后出现轻度斑丘疹伴嗜酸性粒细胞增多。随后,出现了迅速进展的肾衰竭,成为主要临床表现。停用所有可疑药物并给予大剂量类固醇治疗6周后,肾功能缓慢恢复正常。