An adult case of suspected acute kidney injury due to ceftriaxone-related crystals

DOI
  • ARAI Miki
    Department of Clinical Laboratory, Saiseikai Shigaken Hospital
  • YAMAMOTO Homare
    Department of Clinical Laboratory, Saiseikai Shigaken Hospital
  • FURUTANI Yoshizumi
    Department of Clinical Laboratory, Saiseikai Shigaken Hospital
  • YONEDA Naoto
    Department of Clinical Laboratory, Saiseikai Shigaken Hospital
  • YAMADA Yuuma
    Department of Clinical Laboratory, Saiseikai Shigaken Hospital
  • HATA Hisakatsu
    Department of Clinical Laboratory, Saiseikai Shigaken Hospital

Bibliographic Information

Other Title
  • セフトリアキソン関連結晶による急性腎障害が疑われた成人症例

Abstract

<p>Cases of ceftriaxone-related urinary crystals or urolithiasis in children have been reported; however, there is little information about urolithiasis in adult patients. We herein report an adult case of crystalluria that was observed during the administration of ceftriaxone. The patient was a woman in her 90s. During the administration of ceftriaxone at 2 g/day for the treatment of cellulitis in the left lower extremity, reduction in urine output and floating matter (sludge) in urine were recognized. Urinary sediment examination revealed numerous yellow-brown needle-shaped, agglomerated, and irregular plate-like crystals. Acute renal injury due to ceftriaxone-related crystals was suspected on the basis of her clinical course. Sharing of information and cooperation with the pharmacist led to the early discontinuation of the drug and the rapid recovery of renal function.</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390861869684414848
  • DOI
    10.14932/jamt.23-54
  • ISSN
    21885346
    09158669
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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