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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.
Abstract:
Isoniazid is the mainstay of anti-tubercular therapy. Used in isolation or in combination with other anti-tubercular drugs, it is generally well-tolerated. While hepatotoxicity and neurotoxicity are reported, significant neurotoxicity remains uncommon. In this report, we present a case of rare neurological complication secondary to anti-tubercular therapy in a patient with stage 5 chronic kidney disease.
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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