Aminoglycoside-induced reversible tubular dysfunction

被引:29
作者
Alexandridis, G [1 ]
Liberopoulos, E [1 ]
Elisaf, M [1 ]
机构
[1] Univ Ioannina, Dept Internal Med, Sch Med, GR-45110 Ioannina, Greece
关键词
aminoglycosides; tubular damage; fanconi syndrome; hypokalemia hypomagnesemia; metabolic alkalosis; hypouricemia; GENTAMICIN THERAPY; POTASSIUM-DEPLETION; FRACTIONAL EXCRETION; FANCONI SYNDROME; MG2+ UPTAKE; HYPOMAGNESEMIA; NEPHROTOXICITY; MAGNESIUM; CELLS;
D O I
10.1159/000067797
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Nonoliguric renal insufficiency is a well-known nephrotoxic consequence of aminoglycosides, although reversible tubular damage in the absence of any change in the renal function has been occasionally found. Reported herein are 2 representative cases of a reversible tubular damage due to prolonged aminoglycoside administration: a patient with a Fanconi-like syndrome of proximal tubular dysfunction and a patient with a syndrome of hypokalemic metabolic alkalosis associated with hypomagnesemia. Copyright (C) 2003 S. Karger AG, Basel.
引用
收藏
页码:118 / 120
页数:3
相关论文
共 27 条
[1]  
APPEL GB, 1990, AM J MED S3C, V88, P3
[2]   Partially reversible renal tubular damage in patients with obstructive jaundice [J].
Bairaktari, E ;
Liamis, G ;
Tsolas, O ;
Elisaf, M .
HEPATOLOGY, 2001, 33 (06) :1365-1369
[3]   HYPOMAGNESEMIC HYPOCALCEMIA SECONDARY TO RENAL MAGNESIUM WASTING - POSSIBLE CONSEQUENCE OF HIGH-DOSE GENTAMICIN THERAPY [J].
BAR, RS ;
WILSON, HE ;
MAZZAFERRI, EL .
ANNALS OF INTERNAL MEDICINE, 1975, 82 (05) :646-649
[4]  
BRINKER KR, 1981, J LAB CLIN MED, V98, P292
[5]   Cellular mechanisms of chlorothiazide and cellular potassium depletion on Mg2+ uptake in mouse distal convoluted tubule cells [J].
Dai, LJ ;
Friedman, PA ;
Quamme, GA .
KIDNEY INTERNATIONAL, 1997, 51 (04) :1008-1017
[6]  
ELISAF M, 1995, POSTGRAD MED J, V71, P211, DOI 10.1136/pgmj.71.834.211
[7]  
Elisaf M, 1997, MAGNESIUM RES, V10, P315
[8]   Gentamicin effects on urinary electrolyte excretion in healthy subjects [J].
Elliott, C ;
Newman, N ;
Madan, A .
CLINICAL PHARMACOLOGY & THERAPEUTICS, 2000, 67 (01) :16-21
[9]  
FINTON CK, 1983, AM SURGEON, V49, P576
[10]   Aminoglycoside-associated Fanconi's syndrome: An underrecognized entity [J].
Gainza, FJ ;
Minguela, JI ;
Lampreabe, I .
NEPHRON, 1997, 77 (02) :205-211