Severe acute tubular necrosis observed subsequent to oxaliplatin administration

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Severe acute tubular necrosis observed subsequent to oxaliplatin administration

A 67-year-old man known for metastatic colon cancer received treatment with oxaliplatin and developed severe acute kidney injury requiring dialysis. Renal biopsy revealed severe acute tubular necrosis. Acute kidney injury is a rare but severe adverse effect of oxaliplatin administration.

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Acute Tubular Necrosis

A rapid rise in creatinine following periods of hypotension is most commonly due to acute tubular necrosis. In ATN, urinalysis usually shows granular casts. Urine sodium is typically high due to tubular sodium loss, concentration is typically above 30 mmol/l. The urine to plasma osmolality ratio <1:1, the ability to concentrate urine is preserved despite sodium loss. Acute Tubular Necrosis is a...

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Vancomycin-induced acute tubular necrosis.

OBJECTIVES To report nephrotoxicity in the form of acute tubular necrosis (ATN) related to vancomycin. METHODS This study was conducted at Johns Hopkins Aramco Healthcare, Saudi Aramco, Dharan, Saudi Arabia between June and August 2013. All patients who received intravenous vancomycin as a part of the hospital's vancomycin stewardship program were monitored for the development of ATN. RESUL...

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Albuminuria in acute tubular necrosis.

Acute renal failure (ARF) is defined as an abrupt decline in the glomerular filtration rate (GFR), as evidenced by rising serum levels of urea nitrogen and creatinine. Acute tubular necrosis (ATN) is the most common cause of ARF. ATN is an acute decline in glomerular filtration as a result of damage to the tubules in the kidney. Sepsis is the most common aetiology of ATN, causing ARF in 20–25% ...

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ژورنال

عنوان ژورنال: Clinical Kidney Journal

سال: 2013

ISSN: 2048-8505,2048-8513

DOI: 10.1093/ckj/sft148