scholarly journals Renal Failure Due to Sulfadiazine Induced Calculi: Case Report and Literature Review

2019 ◽  
Vol 36 (1-2) ◽  
pp. 30-32
Author(s):  
Alexandre Augusto Monteiro Sato ◽  
Leda A. Daud Lotaif ◽  
Mario Henrique Elias de Mattos ◽  
Antonio Corrêa Lopes Neto

Introduction: Renal calculi is a prevalent disease and has some causes described. The drug calculi origin are rare, accounting for around 1% to 2% of cases. The crystals of sulfadiazine are formed in 20% to 45% of cases, but between 0.4% and 4.5% are associated with renal failure. We present a case report and a review of the literature on diagnosis and treatment of this entity, given its rarity and specificity. Case Report: A 48-year-old male, diabetic, during treatment for acute toxoplasmosis with sulfadiazine initiated renal colic associated with renal failure. The hypothesis of drug calculation was considered, because during the diagnostic investigation of toxoplasmosis, imaging studies were performed and presented without renal calculi. Initially he was treated conservatively with hyperhydration and alpha-blocker, but since he did not present improvement in the exams, he underwent ureterolithotripsy and double j stent. Conclusion: We present a report of urinary lithiasis of pharmacological origin associated with renal insufficiency and a review of the literature.

Nephron ◽  
1994 ◽  
Vol 68 (2) ◽  
pp. 256-258 ◽  
Author(s):  
O.P. Kalra ◽  
P.P. Verma ◽  
S. Kochhar ◽  
V. Jha ◽  
V. Sakhuja

2019 ◽  
Vol 28 (3) ◽  
pp. 280-3
Author(s):  
Johannes Cansius Prihadi ◽  
Christopher Kusumajaya

Placement of double-J ureteral stents after endourologic procedures and some open urological surgeries are practical and safe. However, when neglected in situ, undesired problems may occur, leading to serious medical and legal issues. Complications from ureteral stents with protracted indwelling durations include urosepsis, renal failure, encrustation, and spontaneous fractures which may be retained or voided in the urine (stenturia). We report a 40-year-old woman of forgotten double-J ureteral stents, inserted 4 years prior to this study during a gynecologic operation. The patient had pulled out the double-J stents from her urethra herself and presented with impending sepsis. Then, she underwent ureterorenoscopic lithotripsy, but it failed to remove the remaining encrusted double-J stent. As a result, percutaneous nephrolithotomy was performed successfully and she had symptom-free thereafter.


1997 ◽  
Vol 17 (3) ◽  
pp. 449-460 ◽  
Author(s):  
Thomas S. Neuhauser ◽  
Kristen Lancaster ◽  
Robert Haws ◽  
Dennis Drehner ◽  
Margaret L. Gulley ◽  
...  

2010 ◽  
Vol 34 (1) ◽  
pp. 123-127 ◽  
Author(s):  
Anat Gafter-Gvili ◽  
Ron Ram ◽  
Uzi Gafter ◽  
Ofer Shpilberg ◽  
Pia Raanani

2008 ◽  
Vol 80 (4) ◽  
pp. 440-443 ◽  
Author(s):  
Jason John ◽  
Siân Allen ◽  
Matthew Perry ◽  
Hitendra R.H. Patel ◽  
Tim O’Brien

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Ian Holmes ◽  
Nathaniel Berman ◽  
Vinicius Domingues

Phenazopyridine is a commonly used urinary analgesic available throughout the United States. Ingestion of large quantities can lead to methemoglobinemia, hemolytic anemia, jaundice, and acute renal failure. We report a case of a 78-year-old male with previously normal renal function who developed acute renal failure and jaundice without methemoglobinemia or hyperbilirubinemia after taking nearly 8 g of phenazopyridine over the course of 4 days. Initially presenting with oliguria, the urine output began to increase by day 2 of his admission, and the creatinine peaked 11 days after he began taking phenazopyridine, and he was discharged safely soon after. To our knowledge, this is the first such case of renal failure and jaundice without methemoglobinemia or hemolytic anemia in an adult patient with normal renal function.


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