We talked about a case of a patient with an acute rise in creatinine to the 600's from a baseline of 50 in the context of adding new medications. The patient developed eosinophilia and white blood cell casts compatible with a diagnosis of interstitial nephritis.
The types of interstitial nephritis are shown (above).
A similar case is presented in the NEJM here with associated discussion. This was also a case of presumed drug induced AIN. Some of the more common causes are listed (above)
A more detailed review on drug induced AIN is available here.
The role of urine eosinophils (i.e. maybe there shouldn't be a role) in this diagnosis is reviewed here.
I've previously blogged about renal failure (and linked to good articles) here.
No comments:
Post a Comment