Bile Nephropathy in Flucloxacillin-Induced Cholestatic Liver Dysfunction

Kidney injury in the context of cholestatic liver dysfunction is not uncommon; this has been historically referred to as cholemic nephrosis implying a direct deleterious renal effect of cholemia. However, scepticism about the exact role that bile and its constituents play in this injury has led to t...

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Main Authors: Basil Alnasrallah, John F. Collins, L. Jonathan Zwi
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2016/4162674
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author Basil Alnasrallah
John F. Collins
L. Jonathan Zwi
author_facet Basil Alnasrallah
John F. Collins
L. Jonathan Zwi
author_sort Basil Alnasrallah
collection DOAJ
description Kidney injury in the context of cholestatic liver dysfunction is not uncommon; this has been historically referred to as cholemic nephrosis implying a direct deleterious renal effect of cholemia. However, scepticism about the exact role that bile and its constituents play in this injury has led to the disappearance of the term. We describe a case of severe AKI due to bile nephropathy with bile casts in flucloxacillin-induced liver dysfunction. We also discuss the recent literature reviving the concept of bile nephropathy.
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institution Kabale University
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2090-665X
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spelling doaj-art-5d4860cca2004ee9adfc58a174931efa2025-02-03T01:09:32ZengWileyCase Reports in Nephrology2090-66412090-665X2016-01-01201610.1155/2016/41626744162674Bile Nephropathy in Flucloxacillin-Induced Cholestatic Liver DysfunctionBasil Alnasrallah0John F. Collins1L. Jonathan Zwi2Department of Nephrology, Auckland City Hospital, Auckland 1023, New ZealandDepartment of Nephrology, Auckland City Hospital, Auckland 1023, New ZealandDepartment of Pathology, Auckland City Hospital, Auckland 1023, New ZealandKidney injury in the context of cholestatic liver dysfunction is not uncommon; this has been historically referred to as cholemic nephrosis implying a direct deleterious renal effect of cholemia. However, scepticism about the exact role that bile and its constituents play in this injury has led to the disappearance of the term. We describe a case of severe AKI due to bile nephropathy with bile casts in flucloxacillin-induced liver dysfunction. We also discuss the recent literature reviving the concept of bile nephropathy.http://dx.doi.org/10.1155/2016/4162674
spellingShingle Basil Alnasrallah
John F. Collins
L. Jonathan Zwi
Bile Nephropathy in Flucloxacillin-Induced Cholestatic Liver Dysfunction
Case Reports in Nephrology
title Bile Nephropathy in Flucloxacillin-Induced Cholestatic Liver Dysfunction
title_full Bile Nephropathy in Flucloxacillin-Induced Cholestatic Liver Dysfunction
title_fullStr Bile Nephropathy in Flucloxacillin-Induced Cholestatic Liver Dysfunction
title_full_unstemmed Bile Nephropathy in Flucloxacillin-Induced Cholestatic Liver Dysfunction
title_short Bile Nephropathy in Flucloxacillin-Induced Cholestatic Liver Dysfunction
title_sort bile nephropathy in flucloxacillin induced cholestatic liver dysfunction
url http://dx.doi.org/10.1155/2016/4162674
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AT johnfcollins bilenephropathyinflucloxacillininducedcholestaticliverdysfunction
AT ljonathanzwi bilenephropathyinflucloxacillininducedcholestaticliverdysfunction