Extremely high levels of vancomycin can cause severe renal toxicity.

Abstract:

:Vancomycin has usually been associated with nephrotoxicity. Generally, this toxicity is presented as proximal tubular cells injury with or without necrosis and as acute interstitial nephritis. However, development of both lesions is uncommonly described in literature. We present a case of vancomycin-induced nephrotoxicity resulting in both acute interstitial nephritis and tubular cells damage confirmed by renal biopsy. Peak and trough levels of 77.11 and 63.60 μg/mL, respectively, were obtained at the first plasma determination. After 8 more plasma determinations and several hemodialysis sessions, vancomycin levels were undetectable 1 month after therapy was stopped. To our knowledge, this is the case report with the highest vancomycin trough levels developing both lesions and describing total vancomycin washout after a biopsy-proven vancomycin toxicity. In conclusion, early vancomycin therapeutic drug monitoring should be performed in order to avoid toxicities where, as seen in our patient, antibiotic exposure could last around 1 month after last dose administration.

journal_name

Infect Drug Resist

authors

Barceló-Vidal J,Rodríguez-García E,Grau S

doi

10.2147/IDR.S171669

subject

Has Abstract

pub_date

2018-07-30 00:00:00

pages

1027-1030

issn

1178-6973

pii

idr-11-1027

journal_volume

11

pub_type

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    authors: Namdar F,Khanahmad H,Ghayour Z,Mirzaei F,Namdar A,Aghaei M,Izadi S,Khamesipour F,Hejazi SH

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    doi:10.2147/IDR.S179462

    authors: Tulasidas S,Rao P,Bhat S,Manipura R

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    journal_title:Infection and drug resistance

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    doi:10.2147/IDR.S160720

    authors: Azargun R,Sadeghi MR,Soroush Barhaghi MH,Samadi Kafil H,Yeganeh F,Ahangar Oskouee M,Ghotaslou R

    更新日期:2018-07-23 00:00:00

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    authors: Li SL,Zhang Y,Cheng QS,Xin JZ,Dong ZQ,Qiu XJ

    更新日期:2020-09-14 00:00:00

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    doi:10.2147/IDR.S105469

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    更新日期:2017-09-01 00:00:00

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    pub_type:

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    更新日期:2020-07-10 00:00:00

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    journal_title:Infection and drug resistance

    pub_type: 杂志文章

    doi:10.2147/IDR.S193638

    authors: Liao CH,Lee NY,Tang HJ,Lee SS,Lin CF,Lu PL,Wu JJ,Ko WC,Lee WS,Hsueh PR

    更新日期:2019-03-04 00:00:00

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    authors: Wassef M,Mukhtar A,Nabil A,Ezzelarab M,Ghaith D

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    journal_title:Infection and drug resistance

    pub_type:

    doi:10.2147/IDR.S163686

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    更新日期:2018-05-14 00:00:00

  • Association Between Biofilm Formation, Structure, and the Expression Levels of Genes Related to biofilm formation and Biofilm-Specific Resistance of Acinetobacter baumannii Strains Isolated from Burn Infection in Ahvaz, Iran.

    abstract:Background:The ability of biofilm formation is an effective way for Acinetobacter baumannii survival from stressed conditions. This present study was aimed to evaluate the association between biofilm formation, structure, the expression levels of genes related to biofilm formation and biofilm-specific resistance of A. ...

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    更新日期:2015-04-07 00:00:00

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    pub_type: 杂志文章

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    authors: Hong J,Jiang H,Hu J,Wang L,Liu R

    更新日期:2020-01-16 00:00:00

  • Raltegravir in combination with other antiretroviral agents for the treatment of HIV infection.

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    doi:10.2147/idr.s9689

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    更新日期:2010-01-01 00:00:00

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    更新日期:2018-10-17 00:00:00

  • Contributing Factors to the Clinical and Economic Burden of Patients with Laboratory-Confirmed Carbapenem-Nonsusceptible Gram-Negative Respiratory Infections.

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    doi:10.2147/IDR.S236026

    authors: McCann E,Sung AH,Ye G,Vankeepuram L,Tabak YP

    更新日期:2020-03-09 00:00:00

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    journal_title:Infection and drug resistance

    pub_type: 杂志文章

    doi:10.2147/IDR.S203579

    authors: Su HC,Hua YM,Feng IJ,Wu HC

    更新日期:2019-05-15 00:00:00

  • Carriage of colistin-resistant, extended-spectrum β-lactamase-producing Escherichia coli harboring the mcr-1 resistance gene after short-term international travel to Vietnam.

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    doi:10.2147/IDR.S153178

    authors: Nakayama T,Kumeda Y,Kawahara R,Yamaguchi T,Yamamoto Y

    更新日期:2018-03-12 00:00:00

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    pub_type: 杂志文章

    doi:10.2147/IDR.S19201

    authors: Sapi E,Kaur N,Anyanwu S,Luecke DF,Datar A,Patel S,Rossi M,Stricker RB

    更新日期:2011-01-01 00:00:00

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    abstract::Purpose: The rapid emergence of multidrug-resistant (MDR) bacteria and the lack of new therapies to eliminate them poses a major threat to global health. With the alarming rise in antimicrobial resistance (AMR), focus has now shifted to the use of the polymyxin class of antibiotics as the last line of defense for trea...

    journal_title:Infection and drug resistance

    pub_type: 杂志文章

    doi:10.2147/IDR.S196874

    authors: Krishnamurthy M,Lemmon MM,Falcinelli EM,Sandy RA,Dootz JN,Mott TM,Rajamani S,Schaecher KE,Duplantier AJ,Panchal RG

    更新日期:2019-05-27 00:00:00

  • Relation between flomoxef minimum inhibitory concentrations and clinical outcomes of patients treated with flomoxef for Enterobacteriaceae bacteremia.

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    journal_title:Infection and drug resistance

    pub_type: 杂志文章

    doi:10.2147/IDR.S185670

    authors: Lee CH,Chen IL,Li CC,Chien CC

    更新日期:2018-11-27 00:00:00

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    abstract:Background:Raw meat is one of the commonly consumed traditional diets in Ethiopia. However, unhygienic processing and distribution practices are risky for contamination of meat leading to human infection. This study was conducted to assess the presence of multi-drug resistant E. coli with special emphasis on E. coli O1...

    journal_title:Infection and drug resistance

    pub_type: 杂志文章

    doi:10.2147/IDR.S277890

    authors: Sebsibe MA,Asfaw ET

    更新日期:2020-10-27 00:00:00