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Piperacillin/Tazobactam-Induced Granulomatous Interstitial Nephritis in a Patient with Squamous Cell Lung Cancer Successfully Managed with Chemoradiotherapy.

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Internal medicine (Tokyo, Japan) 📖 저널 OA 81.2% 2024: 6/6 OA 2025: 37/56 OA 2026: 76/84 OA 2024~2026 2026 OA Nephrotoxicity and Medicinal Plants
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PubMed DOI OpenAlex 마지막 보강 2026-04-29
OpenAlex 토픽 · Nephrotoxicity and Medicinal Plants Sarcoidosis and Beryllium Toxicity Research Drug-Induced Adverse Reactions

Sugiura T, Tsuchiya K, Koyano A, Ueno T, Rachi H, Shiratori K

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Drug-induced acute interstitial nephritis (DI-AIN) is a common cause of acute kidney injury (AKI), particularly in patients receiving multiple medications.

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APA Takuya Sugiura, Kazuo Tsuchiya, et al. (2026). Piperacillin/Tazobactam-Induced Granulomatous Interstitial Nephritis in a Patient with Squamous Cell Lung Cancer Successfully Managed with Chemoradiotherapy.. Internal medicine (Tokyo, Japan). https://doi.org/10.2169/internalmedicine.7024-25
MLA Takuya Sugiura, et al.. "Piperacillin/Tazobactam-Induced Granulomatous Interstitial Nephritis in a Patient with Squamous Cell Lung Cancer Successfully Managed with Chemoradiotherapy.." Internal medicine (Tokyo, Japan), 2026.
PMID 42021034 ↗

Abstract

Drug-induced acute interstitial nephritis (DI-AIN) is a common cause of acute kidney injury (AKI), particularly in patients receiving multiple medications. We report a case of AKI in a 47-year-old man with lung squamous cell carcinoma who was treated with carboplatin, paclitaxel, and tazobactam/piperacillin (TAZ/PIPC). A renal biopsy revealed acute tubulointerstitial nephritis with eosinophilic infiltration and non-caseating epithelioid granulomas. The drug lymphocyte stimulation test was positive for TAZ/PIPC, thus supporting a diagnosis of drug-associated DI-AIN. The discontinuation of TAZ/PIPC and corticosteroid therapy led to a recovery of the renal function, thereby allowing for the safe resumption of chemotherapy.

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