Korean J Nephrol.  2005 May;24(3):470-474.

A Case of Carbamazepine-induced Acute Interstitial Nephritis

Affiliations
  • 1Department of Internal Medicine, College of Medicine, Hallym University, Seoul, Korea. sjwdr@hanmail.net
  • 2Department of Neurosurgery, College of Medicine, Hallym University, Seoul, Korea.
  • 3Department of Pathology, College of Medicine, Hallym University, Seoul, Korea.

Abstract

We report a case of acute interstitial nephritis associated with carbamazepine in a 45-year-old woman who developed acute renal failure. The patient has been taken valproic acid and carbamazepine to control the recurrent episodes of seizure after the surgery for meningioma. The patient developed acute renal failure with fever and skin rash. The patient stopped all medications except valproic acid, and was examined by ultrasonography, gallium scan and renal biopsy. Renal biopsy revealed severe interstitial infiltration of neutrophils in glomeruli without inflammation. After discontinuation of carbamazepine, acute renal failure of the patient improved and serum creatinine returned to normal.

Keyword

Acute interstitial nephritis; Carbamazepine; Acute renal failure

MeSH Terms

Acute Kidney Injury
Biopsy
Carbamazepine
Creatinine
Exanthema
Female
Fever
Gallium
Humans
Inflammation
Meningioma
Middle Aged
Nephritis, Interstitial*
Neutrophils
Seizures
Ultrasonography
Valproic Acid
Carbamazepine
Creatinine
Gallium
Valproic Acid
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