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Rifampicin-induced acute renal failure: a case report
S H Abu-Romeh1, S O Huraib, M K Quadri
1Department of Medicine, King Faaad National Guard Hospital, Riyadh, Saudi Arabia.
Abstract:
Acute oliguric renal failure (ARF) developed in a patient two weeks after he was started on intermittent anti-tuberculous therapy including rifampicin. The clinical picture was compatible with acute allergic interstitial nephritis. Renal histology revealed mainly acute tubular necrosis with mild tubulo-interstitial mononuclear cellular infiltrate. Intermittent therapy, as in our patient, has been the major factor in the development of rifampicin induced ARF in cases reviewed in the literature.
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