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Allergic Tubulointerstitial Nephritis

more about Allergic Tubulointerstitial Nephritis

  • The kidney tissue becomes inflamed due to an allergic reaction.  This allergic reaction can occur from medications, infections, or the cause may be unknown.

  • Fever
  • Rash
  • Flank pain
  • Blood in urine
  • Low or high urine output
  • Swelling due to fluid overload can occur in any area of the body (i.e., face, legs, abdomen)
  • Lethargy, confusion, or even Coma can occur

  • Drug reactions -- the most common cause:
    1. Antibiotics (e.g., penicillin, sulfonamides, etc.) -- are the most prevalent cause
    2. Thiazide diuretics
    3. Furosemide
    4. Allopurinol
    5. Cimetidine (Tagamet)
    6. Phenytoin (Dilantin) 
    7. Anti-inflammatories (such as ibuprofen)
  • Bacterial infections
  • Viral infections
  • Mycoplasma
  • Toxoplasma
  • Idiopathic (unknown causes)

  • Laboratory Tests:
    1. Elevated blood eosinophils
    2. Urinalysis may show red blood cells, white blood cells, white blood cell casts, protein, and eosinophils.
  • Imaging
    1. Ultrasound of kidneys
    2. Gallium scanning
  • Kidney biopsy may be considered if diagnosis is unclear.

  • Discontinuance of an offending medication
  • Treatment of an underlying infection
  • Kidney dialysis may be required in a severe case.
  • Corticosteroid medications may be considered.

more about Allergic Tubulointerstitial Nephritis

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