• J Coll Physicians Surg Pak · Feb 2021

    Case Reports

    An Old Enemy: Still Nephrotoxic.

    • Faruk Recep Ozalp, Tugba Karadeniz, and Alper Alp.
    • Department of Internal Medicine, Izmir University of Health Sciences, Tepecik Training and Research Hospital, Izmir, Turkey.
    • J Coll Physicians Surg Pak. 2021 Feb 1; 31 (2): 228-231.

    AbstractTubulointerstitial nephritis (TIN) presents histopathologically as tubulitis and oedema/inflammation and fibrosis, affecting the renal tubules and interstitium with relative sparing of the glomeruli and vasculature. It can be acute or chronic or acute on chronic and has a wide range of etiologies. In this article, we report a case of a 44-year male who presented with acute TIN, associated with the use of diclofenac at therapeutic doses, that resolved with treatment but later progressed to chronic TIN after the patient resumed diclofenac therapy. The case is discussed in the context of literature regarding the nephrotoxic effects of nonsteroidal anti-inflammatory drugs (NSAIDs). Key Words: Nonsteroidal anti-inflammatory drugs, Acute kidney injury, Tubulointerstitial nephritis.

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