A successfully treated case of acute renal failure due to acute immune hemolytic anemia and nontraumatic rhabdomyolysis induced by streptomycin reinjection

A case of acute immune hemolytic anemia associated with non-traumatic rhabdomyolysis (NTR) induced by streptomycin (SM) reinjection, which developed acute renal failure, has been reported. A 70-year-old female was admitted to our hospital because of sudden macroscopic hematuria after reinjection of...

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Veröffentlicht in:Nihon Jinzo Gakkai shi 1992/11/25, Vol.34(11), pp.1233-1236
Hauptverfasser: NAKAHARA, YOSHIFUMI, KATOH, SHUJI, YAMADA, HIROYUKI, KANETAKE, YASUFUMI, TERASHIMA, SATOSHI, TATSUKAWA, HIROTAKA, IDA, KAZUNORI, SHIMAZAKI, CHIHIRO, NAKAGAWA, MASAO
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container_issue 11
container_start_page 1233
container_title Nihon Jinzo Gakkai shi
container_volume 34
creator NAKAHARA, YOSHIFUMI
KATOH, SHUJI
YAMADA, HIROYUKI
KANETAKE, YASUFUMI
TERASHIMA, SATOSHI
TATSUKAWA, HIROTAKA
IDA, KAZUNORI
SHIMAZAKI, CHIHIRO
NAKAGAWA, MASAO
description A case of acute immune hemolytic anemia associated with non-traumatic rhabdomyolysis (NTR) induced by streptomycin (SM) reinjection, which developed acute renal failure, has been reported. A 70-year-old female was admitted to our hospital because of sudden macroscopic hematuria after reinjection of lg. SM. Laboratory findings on admission were as follows; hemoglobin and myoglobin were positive in urine. RBC 129×104/μl, Hb 4.9g/dl, Ht 11.1%, reticulocytes 52%, serum indirect billirubin 3.8g/dl. LDH 9, 230 WU, BUN 149mg/dl, Cr 7.9mg/dl, myoglobin 1, 400ng/ml and haptoglobin 10.6mg/dl. The drug lymphocyte stimulating test of SM was positive (215%). A direct antiglobulin test was also positive. An indirect antiglobulin test was negative, but became positive after incubation with SM. These observations made the diagnosis of SM-induced hemolytic anemia associated with NTR. On the second hospital day she developed anuria, and was put on hemodialysis treatment. Two months after the acute hemolytic episode and acute renal failure she recovered and is presently in good health without recurrence.
doi_str_mv 10.14842/jpnjnephrol1959.34.1233
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1884-0728
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recordid cdi_pubmed_primary_1294778
source J-STAGE (Free - Japanese); MEDLINE; Free E-Journal (出版社公開部分のみ)
subjects Acute Disease
Acute Kidney Injury - etiology
Acute Kidney Injury - therapy
Aged
Anemia, Hemolytic, Autoimmune - chemically induced
Anemia, Hemolytic, Autoimmune - complications
Female
Humans
Renal Dialysis
Rhabdomyolysis - chemically induced
Rhabdomyolysis - complications
Streptomycin - adverse effects
streptomycin, hemolytic anemia, non-traumatic rhabdomyolysis, hemodialysis
title A successfully treated case of acute renal failure due to acute immune hemolytic anemia and nontraumatic rhabdomyolysis induced by streptomycin reinjection
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