Acute Kidney Injury because of Implanted Tobramycin Pellets: A Case Report
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Acute Kidney Injury because of Implanted Tobramycin Pellets : A Case Report. / Windfeld-Mathiasen, Josefine; Horwitz, Henrik; Schwartz, Frederik.
I: JBJS Case Connector, Bind 13, Nr. 2, e22.00621, 2023.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Acute Kidney Injury because of Implanted Tobramycin Pellets
T2 - A Case Report
AU - Windfeld-Mathiasen, Josefine
AU - Horwitz, Henrik
AU - Schwartz, Frederik
N1 - Publisher Copyright: © 2023 Lippincott Williams and Wilkins. All rights reserved.
PY - 2023
Y1 - 2023
N2 - Case:A 50-year-old healthy man with normal kidney function underwent surgery for fracture-related infection. Unfortunately, the patient received 2.5 times the intended dose of tobramycin pellets in the medullary cavity and developed acute kidney failure. Given the intraosseous administration of tobramycin, the drug displayed an absorption-dependent pharmacokinetics and multiple treatments with hemodialysis were needed. However, the patient had a complete recovery, and the kidney function remained normal at the 2-year follow-up.Conclusion:Tobramycin pellets are nephrotoxic in supratherapeutic doses; however, it was reversible in this case. Owing to the intraosseous administration, multiple treatments with hemodialysis were required.
AB - Case:A 50-year-old healthy man with normal kidney function underwent surgery for fracture-related infection. Unfortunately, the patient received 2.5 times the intended dose of tobramycin pellets in the medullary cavity and developed acute kidney failure. Given the intraosseous administration of tobramycin, the drug displayed an absorption-dependent pharmacokinetics and multiple treatments with hemodialysis were needed. However, the patient had a complete recovery, and the kidney function remained normal at the 2-year follow-up.Conclusion:Tobramycin pellets are nephrotoxic in supratherapeutic doses; however, it was reversible in this case. Owing to the intraosseous administration, multiple treatments with hemodialysis were required.
KW - antibiotic pellets
KW - fracture
KW - hemodialysis
KW - infection
KW - kidney injury
KW - male
KW - osteomyelitis
KW - Tobramycin
U2 - 10.2106/JBJS.CC.22.00621
DO - 10.2106/JBJS.CC.22.00621
M3 - Journal article
C2 - 37026770
AN - SCOPUS:85152165599
VL - 13
JO - JBJS Case Connector
JF - JBJS Case Connector
SN - 2160-3251
IS - 2
M1 - e22.00621
ER -
ID: 343341531