Sulfadiazine-induced crystalluria and renal failure in a patient with AIDS.
نویسندگان
چکیده
Cerebral toxoplasmosis is one of the most treatable opportunistic infections of the central nervous system in patients with the acquired immunodeficiency syndrome (AIDS).l,2 A combination of sulfadiazine and pyrimethamine is the therapy of choice, producing a favorable clinical response in 68 to 95 percent of patients receiving this regimen.3,4 Reports of sulfadiazine-induced crystalluria and renal failure were common during the 1940s and 1950s, before more soluble sulfonamides, such as trimethoprim-sulfamethoxazole (TMP/SMX) , became available. Recently, case reports of sulfadiazine nephrotoxicity have reappeared as widespread use of this regimen for human immunodeficiency virus (HIV)-related cerebral toxoplasmosis increased.5-17 We report a patient with AIDS and central nervous system toxoplasmosis who developed nonoliguric renal failure caused by sulfadiazine-induced crystalluria.
منابع مشابه
Acute renal failure due to sulphadiazine crystalluria in AIDS patients.
We report two AIDS patients who developed acute renal failure while receiving sulphadiazine for cerebral toxoplasmosis. Renal ultrasound revealed diffuse bilateral echogenic shadowing material. 'Sheaves of wheat' crystals, typical of sulphadiazine crystalluria, were present in the urine. One patient required a percutaneous nephrostomy. Hydration and urine alkalinisation resulted in rapid improv...
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ورودعنوان ژورنال:
- The Journal of the American Board of Family Practice
دوره 12 3 شماره
صفحات -
تاریخ انتشار 1999