Ataxia in a chronic kidney disease patient on anti-tubercular therapy

D Pathania1, M K Phanish1, J Vishal2

  • 1Department of Nephrology and Renal Transplantation, Medanta, The Medicity, Gurgaon, Haryana, India.

Insights

Isoniazid is a key tuberculosis treatment, usually well-tolerated. This case highlights rare, significant neurotoxicity from this drug in a patient with advanced chronic kidney disease.

Area of Science:

  • Pharmacology
  • Neurology
  • Nephrology

Background:

  • Isoniazid is a primary drug for tuberculosis treatment.
  • It is generally safe, but neurotoxicity is a known side effect.

Observation:

  • A patient with stage 5 chronic kidney disease developed severe neurological symptoms.
  • These symptoms were linked to isoniazid therapy.

Findings:

  • This case demonstrates a rare instance of significant neurotoxicity.
  • The neurotoxicity occurred in the context of advanced chronic kidney disease.

Implications:

  • Clinicians should consider rare neurological complications of isoniazid.
  • Careful monitoring is crucial for patients with chronic kidney disease receiving anti-tubercular therapy.

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