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利福平诱发的急性肾损伤和溶血：一例罕见病例报告及文献综述

Rifampin-induced acute kidney injury and hemolysis: A case report and literature review of a rare condition.

作者信息

Ata Fateen, Magboul Hiba M B, Toba Haneen A A, Alfar Hadeel, Al Bozom Adel, Murshed Khaled, Zahid Muhammad

机构信息

Department of Endocrinology Hamad Medical Corporation Doha Qatar.

Department of Internal Medicine Hamad Medical Corporation Doha Qatar.

出版信息

Clin Case Rep. 2022 Dec 21;10(12):e6780. doi: 10.1002/ccr3.6780. eCollection 2022 Dec.

DOI:10.1002/ccr3.6780
PMID:36567686
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9771787/
Abstract

Rifampicin is a bactericidal drug used in various infectious diseases, including tuberculosis (TB). Nephrotoxicity is a rare side effect of intermittent Rifampin use and even less commonly continued use. We report a case of Rifampin-induced acute tubular necrosis and hemolysis in a patient with latent TB with a relevant literature review.

摘要

利福平是一种用于包括结核病（TB）在内的各种传染病的杀菌药物。肾毒性是间歇性使用利福平罕见的副作用，持续使用则更为少见。我们报告一例潜伏性结核病患者发生利福平诱导的急性肾小管坏死和溶血的病例，并进行相关文献综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9924/9771787/c287852d71ad/CCR3-10-e6780-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9924/9771787/c287852d71ad/CCR3-10-e6780-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9924/9771787/c287852d71ad/CCR3-10-e6780-g001.jpg

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1
Rifampin-induced acute kidney injury and hemolysis: A case report and literature review of a rare condition.利福平诱发的急性肾损伤和溶血：一例罕见病例报告及文献综述
Clin Case Rep. 2022 Dec 21;10(12):e6780. doi: 10.1002/ccr3.6780. eCollection 2022 Dec.
2
Rifampin-Induced Acute Intravascular Hemolysis Leading to Heme Pigment-Related Kidney Injury.利福平诱导的急性血管内溶血导致与血红素色素相关的肾损伤。
Cureus. 2020 Jul 10;12(7):e9120. doi: 10.7759/cureus.9120.
3
A Case Series of Acute Kidney Injury During Anti-tuberculosis Treatment.抗结核治疗期间急性肾损伤病例系列
Intern Med. 2019 Feb 15;58(4):521-527. doi: 10.2169/internalmedicine.0813-18. Epub 2018 Oct 17.
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Acute tubulo-interstitial nephritis requiring dialysis associated with intermittent rifampicin use: case report.与间歇性使用利福平相关的需要透析的急性肾小管间质性肾炎：病例报告
Int J Artif Organs. 1999 Jul;22(7):477-81.
5
[Acute renal failure, intravascular hemolysis and toxic hepatitis caused by repeated use of rifampicin (case report)].[反复使用利福平引起急性肾衰竭、血管内溶血和中毒性肝炎（病例报告）]
Lijec Vjesn. 1999 Apr-May;121(4-5):126-8.
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Acute interstitial nephritis induced by intermittent use of rifampicin in patient with brucellosis.布鲁氏菌病患者间歇性使用利福平诱发急性间质性肾炎。
Saudi J Kidney Dis Transpl. 2008 May;19(3):450-2.
7
Acute renal failure complicating rifampicin therapy.利福平治疗引发的急性肾衰竭
J Assoc Physicians India. 2001 Sep;49:877-80.
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Rifampicin-associated acute renal failure and hemolysis: a rather uncommon but severe complication.利福平相关急性肾衰竭和溶血性贫血：一种相当不常见但严重的并发症。
Ren Fail. 2013 Sep;35(8):1179-81. doi: 10.3109/0886022X.2013.815567. Epub 2013 Jul 25.
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Rifampicin-induced acute kidney injury during the initial treatment for pulmonary tuberculosis: a case report and literature review.利福平在肺结核初始治疗期间所致急性肾损伤：一例病例报告及文献综述
Intern Med. 2013;52(21):2457-60. doi: 10.2169/internalmedicine.52.0634.
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Rifampicin-Induced Nephrotoxicity in a Tuberculosis Patient: Treatment Dilemma?利福平诱发的结核病患者肾毒性：治疗困境？
Eur J Case Rep Intern Med. 2021 Oct 14;8(10):002833. doi: 10.12890/2021_002833. eCollection 2021.

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The Effectiveness of Colistin/Rifampin Compared to Colistin/Meropenem in the Treatment of Ventilator-associated Pneumonia Caused by Carbapenem-resistant : A Randomized Controlled Clinical Trial.与黏菌素/美罗培南相比，黏菌素/利福平治疗耐碳青霉烯类引起的呼吸机相关性肺炎的有效性：一项随机对照临床试验
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Acute tubulointerstitial nephritis (ATIN) including drug-induced, tubulointerstitial nephritis and uveitis (TINU), ANCA-associated vasculitis (AAV), kidney- limited sarcoidosis, and hemolysis: a case series from Syria.急性肾小管间质性肾炎（ATIN），包括药物性肾小管间质性肾炎和葡萄膜炎（TINU）、抗中性粒细胞胞浆抗体相关性血管炎（AAV）、肾脏局限性结节病以及溶血：来自叙利亚的病例系列。
BMC Nephrol. 2025 Feb 25;26(1):97. doi: 10.1186/s12882-025-04030-5.
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本文引用的文献

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Rifampicin-Induced Pneumonitis Mimicking Severe COVID-19 Pneumonia Infection.利福平诱发的肺炎酷似重症新冠病毒肺炎感染
Am J Case Rep. 2020 Aug 25;21:e927586. doi: 10.12659/AJCR.927586.
2
Rifampin-Induced Acute Intravascular Hemolysis Leading to Heme Pigment-Related Kidney Injury.利福平诱导的急性血管内溶血导致与血红素色素相关的肾损伤。
Cureus. 2020 Jul 10;12(7):e9120. doi: 10.7759/cureus.9120.
3
A Case Series of Acute Kidney Injury During Anti-tuberculosis Treatment.抗结核治疗期间急性肾损伤病例系列
Extreme and Severe Systemic Pain Caused by Rifampicin: A Case Report of a Rare Allergic Reaction.利福平引起的极重度全身性疼痛：一例罕见过敏反应的病例报告
Curr Drug Saf. 2025;20(4):539-544. doi: 10.2174/0115748863359479250121114135.
4
Clinical standards for the management of adverse effects during treatment for TB.肺结核治疗过程中不良反应管理的临床标准。
Int J Tuberc Lung Dis. 2023 Jul 1;27(7):506-519. doi: 10.5588/ijtld.23.0078.
Intern Med. 2019 Feb 15;58(4):521-527. doi: 10.2169/internalmedicine.0813-18. Epub 2018 Oct 17.
4
Acute kidney injury due to anti-tuberculosis drugs: a five-year experience in an aging population.抗结核药物导致的急性肾损伤：老龄化人群中的五年经验。
BMC Infect Dis. 2014 Jan 13;14:23. doi: 10.1186/1471-2334-14-23.
5
Rifampicin-associated acute renal failure and hemolysis: a rather uncommon but severe complication.利福平相关急性肾衰竭和溶血性贫血：一种相当不常见但严重的并发症。
Ren Fail. 2013 Sep;35(8):1179-81. doi: 10.3109/0886022X.2013.815567. Epub 2013 Jul 25.
6
Acute rifampicin-associated interstitial tubulopathy in a patient with pulmonary tuberculosis: a case report.一名肺结核患者发生的急性利福平相关性间质性肾小管病：病例报告
J Med Case Rep. 2013 Apr 17;7:106. doi: 10.1186/1752-1947-7-106.
7
[Drug-induced impairment of renal function].[药物性肾功能损害]
Dtsch Med Wochenschr. 2012 Sep;137(38):1873-7. doi: 10.1055/s-0032-1305312. Epub 2012 Sep 12.
8
Recurrent disseminated intravascular coagulation caused by intermittent dosing of rifampin.利福平间歇性给药引起的复发性播散性血管内凝血。
Am J Trop Med Hyg. 2012 Feb;86(2):264-7. doi: 10.4269/ajtmh.2012.11-0598.
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A study of gender differentials in the prevalence of tuberculosis based on NFHS-2 and NFHS-3 data.一项基于国家家庭健康调查-2（NFHS-2）和国家家庭健康调查-3（NFHS-3）数据的结核病患病率性别差异研究。
Indian J Community Med. 2010 Apr;35(2):230-7. doi: 10.4103/0970-0218.66869.
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Blood Rev. 2010 Jul-Sep;24(4-5):143-50. doi: 10.1016/j.blre.2010.06.004. Epub 2010 Jul 21.