Cilostazol-induced Acute Kidney Injury in A Patient With Diabetic Foot Ulcer: A Case Report and Review of Literature.

IF 0.8 4区 医学 Q4 UROLOGY & NEPHROLOGY
Iranian journal of kidney diseases Pub Date : 2022-09-01
Shahrzad Shahidi, Elham Kabiri Naeini, Sadegh Mazaheri-Tehrani
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引用次数: 0

Abstract

Introduction: Cilostazol is an antiplatelet agent, that has been recently used as an adjunctive therapy in the management of diabetic foot ulcers. Headache, diarrhea, palpitations, and edema are reported as common side effects.

Case presentation: A 53-year-old woman was admitted to hospital, with decreased urine output and increased serum creatinine level. She had taken Cilostazol for the first time, for only one day, so the diagnosis of acute kidney injury, probably drug-induced acute interstitial nephritis, due to Cilostazol use, was made. Her kidney function did not improve despite Cilostazol discontinuation and therefore, empirical corticosteroid therapy was initiated. Her urine output increased and her serum creatinine level significantly decreased, on the third day of treatment. She was discharged with acceptable kidney function. Follow-up visits showed gradual normalization of serum creatinine in the next 62 days.

Conclusion: Based on our case, we may draw the conclusion that, Cilostazol may cause nephrotoxicity at any point after ingestion.  DOI: 10.52547/ijkd.6980.

西洛他唑致糖尿病足溃疡急性肾损伤1例报告及文献复习。
西洛他唑是一种抗血小板药物,最近被用作糖尿病足溃疡的辅助治疗。头痛、腹泻、心悸和水肿是常见的副作用。病例介绍:一名53岁妇女因尿量减少和血清肌酐水平升高而入院。患者首次服用西洛他唑仅1天,诊断为急性肾损伤,可能为西洛他唑所致药物性急性间质性肾炎。停用西洛他唑后,她的肾功能仍未改善,因此开始了经验性皮质类固醇治疗。治疗第3天,患者尿量增加,血清肌酐水平明显下降。她出院时肾功能尚可。随访62天,血清肌酐逐渐恢复正常。结论:结合本病例,我们可以得出西洛他唑在摄入后的任何时间点都可能引起肾毒性的结论。DOI: 10.52547 / ijkd.6980。
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来源期刊
Iranian journal of kidney diseases
Iranian journal of kidney diseases UROLOGY & NEPHROLOGY-
CiteScore
2.50
自引率
0.00%
发文量
43
审稿时长
6-12 weeks
期刊介绍: The Iranian Journal of Kidney Diseases (IJKD), a peer-reviewed journal in English, is the official publication of the Iranian Society of Nephrology. The aim of the IJKD is the worldwide reflection of the knowledge produced by the scientists and clinicians in nephrology. Published quarterly, the IJKD provides a new platform for advancement of the field. The journal’s objective is to serve as a focal point for debates and exchange of knowledge and experience among researchers in a global context. Original papers, case reports, and invited reviews on all aspects of the kidney diseases, hypertension, dialysis, and transplantation will be covered by the IJKD. Research on the basic science, clinical practice, and socio-economics of renal health are all welcomed by the editors of the journal.
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