Sulfadiazine-related obstructive urinary tract lithiasis: an unusual cause of acute renal failure after kidney transplantation
| Autor: | Dominique Durand, Nassim Kamar, Lionel Rostaing, Jean-Sébastien Borde, Joelle Guitard, Marc Mouzin, T. Tran-Van |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Nephrology
Adult Male medicine.medical_specialty Ureteral Calculi Urinary system Urology Renal function Sulfadiazine Kidney Function Tests Risk Assessment Severity of Illness Index Ureter Internal medicine Lithotripsy medicine Humans Kidney transplantation Urinary Bladder Calculi business.industry General Medicine Acute Kidney Injury medicine.disease Kidney Transplantation Surgery Transplantation medicine.anatomical_structure Treatment Outcome Drainage Urinary Calculi business Fungemia Toxoplasmosis medicine.drug Kidney disease Follow-Up Studies |
| Zdroj: | Clinical nephrology. 63(5) |
| ISSN: | 0301-0430 |
| Popis: | We report on the first case of acute renal failure related to obstructive urinary tract lithiasis involving sulfadiazine crystals in a kidney transplant recipient. This patient had disseminated toxoplasmosis which was treated by sulfadiazine (4 g/day) and pyrimethamine (50 mg/day). In the fourth week of anti-toxoplasmosis therapy, he presented with obstructive acute renal failure: the plasma creatinine level increased from 220 micromol/l to 547 micromol/l. Apercutaneous pyelography was conducted showing the presence of a lithiasis located at the junction between the graft ureter and the bladder. Six days later, he underwent surgery to retrieve an orange-colored, friable stone. Its spectrophotometric analysis confirmed that the stone consisted of N-acetyl sulfadiazine crystals. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|