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Sharma K, Geagan N, Tengsupakul S. Severe acute interstitial nephritis secondary to minocycline use in an adolescent girl. SAGE Open Med Case Rep. 2020;8:2050313X20943069doi: 10.1177/2050313X20943069.
Sharma, K., Geagan, N., & Tengsupakul, S. (2020). Severe acute interstitial nephritis secondary to minocycline use in an adolescent girl. SAGE open medical case reports, 82050313X20943069. https://doi.org/10.1177/2050313X20943069
Sharma, Kamal, et al. "Severe acute interstitial nephritis secondary to minocycline use in an adolescent girl." SAGE open medical case reports vol. 8 (2020): 2050313X20943069. doi: https://doi.org/10.1177/2050313X20943069
Sharma K, Geagan N, Tengsupakul S. Severe acute interstitial nephritis secondary to minocycline use in an adolescent girl. SAGE Open Med Case Rep. 2020 Jul 21;8:2050313X20943069. doi: 10.1177/2050313X20943069. eCollection 2020. PMID: 32742656; PMCID: PMC7375716.
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SAGE Open Med Case Rep. 2020 Jul 21;8:2050313X20943069. doi: 10.1177/2050313X20943069. eCollection 2020.

Severe acute interstitial nephritis secondary to minocycline use in an adolescent girl.

SAGE open medical case reports

Kamal Sharma, Nicholas Geagan, Supatida Tengsupakul

Affiliations

  1. Division of Pediatric Critical Care, Department of Pediatrics, University of South Alabama College of Medicine, Mobile, AL, USA.
  2. Department of Pediatrics, University of South Alabama College of Medicine, Mobile, AL, USA.
  3. Division of Pediatric Infectious Disease and Division of Pediatric Hospital Medicine, University of South Alabama College of Medicine, Mobile, AL, USA.

PMID: 32742656 PMCID: PMC7375716 DOI: 10.1177/2050313X20943069

Abstract

Acute interstitial nephritis is an uncommon but classic complication of minocycline therapy for acne. A 14-year-old African American girl was started on oral minocycline for the treatment of acne 6 weeks before presentation. After 4 weeks on minocycline, she developed a generalized rash, anasarca, fever, myalgia, nausea, vomiting, sore throat, and generalized body weakness. The evaluation showed increased levels of serum creatinine, urea nitrogen, and serum alanine and aspartate aminotransferases. Renal ultrasonography showed bilateral enlarged, echogenic kidneys, and percutaneous renal biopsy showed features of acute allergic interstitial nephritis. Treatment included methylprednisolone and intravenous fluids and discontinuation of minocycline. The elevated serum creatinine level (12.9 mg/dL (reference, 0.40-0.70 mg/dL)) suggests marked renal impairment corresponding with Kidney Disease Improving Global Outcomes acute kidney injury classification stage 3. The kidney injury improved from stage 3 to stage 1 within 3 days, and early treatment with steroids might have prevented chronic renal failure. The creatinine level promptly decreased to normal, and liver enzyme results also improved. In summary, the diagnosis of acute interstitial nephritis should be considered in patients who present with renal failure associated with recent use of minocycline, and treatment with corticosteroids should be considered early during the hospitalization.

© The Author(s) 2020.

Keywords: Renal failure; acne; adverse event; antibiotic

Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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