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由于5-氟胞嘧啶的存在导致血清肌酐水平假性升高。

Falsely elevated serum creatinine levels secondary to the presence of 5-fluorocytosine.

作者信息

Mitchell R T, Marshall L H, Lefkowitz L B, Stratton C W

出版信息

Am J Clin Pathol. 1985 Aug;84(2):251-3. doi: 10.1093/ajcp/84.2.251.

DOI:10.1093/ajcp/84.2.251
PMID:4025232
Abstract

The Kodak Ektachem (Eastman Kodak Co., Rochester, NY) is a new clinical chemistry analyzer that uses an enzymatic method to measure creatinine. The authors report the case of a patient with falsely elevated creatinine levels that were caused by the presence of 5-fluorocytosine. A review of the literature confirmed that this can occur, but well documented reports are not found. In order to determine the magnitude of this interference, the authors plotted creatinine levels versus 5-FC concentration. Significant interference is seen with therapeutic levels of 5-FC. Both clinicians and pathologists should be aware of this phenomenon.

摘要

柯达Ektachem分析仪(纽约州罗切斯特市伊士曼柯达公司)是一种新型临床化学分析仪,它采用酶法测量肌酐。作者报告了一例患者,其肌酐水平因5-氟胞嘧啶的存在而假性升高。文献回顾证实这种情况可能发生,但未发现充分记录的报告。为了确定这种干扰的程度,作者绘制了肌酐水平与5-氟胞嘧啶浓度的关系图。在5-氟胞嘧啶的治疗浓度下可观察到显著干扰。临床医生和病理学家都应了解这一现象。

相似文献

1
Falsely elevated serum creatinine levels secondary to the presence of 5-fluorocytosine.由于5-氟胞嘧啶的存在导致血清肌酐水平假性升高。
Am J Clin Pathol. 1985 Aug;84(2):251-3. doi: 10.1093/ajcp/84.2.251.
2
Rapid determination of 5-fluorocytosine levels in blood.血液中5-氟胞嘧啶水平的快速测定。
J Clin Microbiol. 1984 Nov;20(5):996-7. doi: 10.1128/jcm.20.5.996-997.1984.
3
Flucytosine interference with serum creatinine determinations.氟胞嘧啶对血清肌酐测定的干扰。
Drug Intell Clin Pharm. 1988 Nov;22(11):879-80. doi: 10.1177/106002808802201108.
4
Spurious azotemia associated with 5-fluorocytosine therapy.与5-氟胞嘧啶治疗相关的假性氮质血症。
Urology. 1990 Sep;36(3):283-5. doi: 10.1016/0090-4295(90)80276-s.
5
False elevation in serum creatinine levels.血清肌酐水平假性升高。
JAMA. 1984 Dec 7;252(21):2962.
6
Effect of various concentrations of flucytosine on the accuracy of serum creatinine determinations.不同浓度氟胞嘧啶对血清肌酐测定准确性的影响。
Am J Hosp Pharm. 1985 Mar;42(3):621-2.
7
Artifactual elevation of the serum creatinine in patients receiving flucytosine for cryptococcal meningitis.接受氟胞嘧啶治疗隐球菌性脑膜炎的患者血清肌酐假性升高。
J Infect Dis. 1989 Dec;160(6):1090-1. doi: 10.1093/infdis/160.6.1090.
8
Rapid enzymatic method for measurement of serum flucytosine levels.测定血清氟胞嘧啶水平的快速酶法。
J Antimicrob Chemother. 1986 May;17(5):673-7. doi: 10.1093/jac/17.5.673.
9
A case of cryptococcosis treated with 5-fluorocytosine.一例用5-氟胞嘧啶治疗的隐球菌病病例。
Yonsei Med J. 1976;17(1):52-8. doi: 10.3349/ymj.1976.17.1.52.
10
Crystalluria during flucytosine therapy.
Med J Aust. 1979 Dec 1;2(11):617. doi: 10.5694/j.1326-5377.1979.tb127231.x.

引用本文的文献

1
False elevation of the serum creatinine level associated with the use of flucytosine.使用氟胞嘧啶相关的血清肌酐水平假性升高。
CMAJ. 1987 Jul 15;137(2):133-4.