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替诺福韦所致肾毒性的逆转:两例患者的病例报告

Reversal of tenofovir induced nephrotoxicity: case reports of two patients.

作者信息

Some Fatuma, Koech Mathew, Chesire Emily, Kigen Gabriel

机构信息

Department of Medicine, Moi University School of Medicine, P.O. Box 4606, Eldoret, Kenya.

Moi Teaching and Referral Hospital, P.O. Box 3, Eldoret, Kenya.

出版信息

Pan Afr Med J. 2017 Jun 16;27:126. doi: 10.11604/pamj.2017.27.126.10033. eCollection 2017.

DOI:10.11604/pamj.2017.27.126.10033
PMID:28904656
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5567942/
Abstract

The use of the antiretroviral drug tenofovir has been associated with nephrotoxicity. However, the overall impact of this adverse effect has not comprehensively evaluated. Some researchers have reported that it is quite severe to warrant monitoring for renal toxicity, while others have concluded that the magnitude may not be that significant. We report two clinical cases seen in our renal clinic with high creatinine levels suggestive of nephrotoxicity who reverted back to normality upon withdrawal of tenofovir.

摘要

抗逆转录病毒药物替诺福韦的使用与肾毒性有关。然而,这种不良反应的总体影响尚未得到全面评估。一些研究人员报告称,其严重程度足以 warrant 对肾毒性进行监测,而另一些人则得出结论,其严重程度可能并不显著。我们报告了在我们肾脏诊所见到的两例临床病例,患者肌酐水平升高提示肾毒性,停用替诺福韦后恢复正常。 (注:“warrant”此处结合语境似应是“需要、值得”之意,但按要求未添加解释,保留英文原文)

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Eur J Clin Pharmacol. 2014 Sep;70(9):1029-40. doi: 10.1007/s00228-014-1712-z. Epub 2014 Jun 25.
2
Delayed onset renal failure in a patient on tenofovir based antiretroviral regimen.一名接受基于替诺福韦的抗逆转录病毒治疗方案的患者出现延迟性肾衰竭。
Indian J Pharmacol. 2014 Mar-Apr;46(2):230-1. doi: 10.4103/0253-7613.129330.
3
Higher risk of renal impairment associated with tenofovir use amongst people living with HIV in India: a comparative cohort analysis between Western India and United Kingdom.在印度,与使用替诺福韦相关的肾功能损害风险较高:印度西部和英国之间的比较队列分析。
BMC Infect Dis. 2014 Mar 29;14:173. doi: 10.1186/1471-2334-14-173.
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Fanconi syndrome accompanied by renal function decline with tenofovir disoproxil fumarate: a prospective, case-control study of predictors and resolution in HIV-infected patients.富尼埃综合征伴肾功能下降与替诺福韦二吡呋酯:HIV 感染患者的预测因素和转归的前瞻性病例对照研究。
PLoS One. 2014 Mar 20;9(3):e92717. doi: 10.1371/journal.pone.0092717. eCollection 2014.
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The rate of recovery in renal function when patients with HIV infection discontinue treatment with tenofovir.感染HIV的患者停用替诺福韦治疗后肾功能的恢复率。
HIV Med. 2014 Sep;15(8):505-10. doi: 10.1111/hiv.12149. Epub 2014 Mar 18.
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