• Karim Gariani, Sophie de Seigneux, Marie Courbebaisse, Marc Lévy, Solange Moll, and Pierre-Yves Martin.
• Department of Internal Medicine, Divison of General Internal Medicine, 4 rue Gabrielle-Perret-Gentil, 1211 Genève 4, Geneva, Switzerland. Karim.Gariani@hcuge.ch.
• J Med Case Rep. 2012 Jul 23; 6: 215.

IntroductionOxalate nephropathy has various etiologies and remains a rare cause of renal failure. To the best of our knowledge, we report the first case of oxalate nephropathy following octreotide therapy.Case PresentationWe report the case of a 78-year-old Caucasian man taking chronic octreotide treatment for acromegaly who presented with acute oxalate nephropathy after antibiotic therapy. The diagnosis was confirmed by urinary analysis and a kidney biopsy. The recovery of renal function was favorable after hydration and withdrawal of octreotide therapy.ConclusionsOxalate nephropathy should be suspected in patients at risk who present with acute kidney injury after prolonged antibiotic treatment. This diagnosis should be distinguished from immuno-allergic interstitial nephritis and requires specific care. The evolution of this condition may be favorable if the pathology is identified correctly. Octreotide therapy should be considered a risk factor for enteric oxaluria.

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