Acute interstitial nephritis is a kidney disorder. The kidneys are unable to filter waste and fluid properly because of inflammation.
Anatomy of the Kidney
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Acute interstitial nephritis can be caused by:
Factors that may increase your chance of acute interstitial nephritis include:
- Drug or medication use (adults)
- Infection (children)
Acute interstitial nephritis may cause:
- Decrease in urine output
- Blood in urine
- Side or loin pain
- Swelling of the body
- Nausea and vomiting
- Loss of appetite
- Aching joints
Your doctor will ask about your symptoms and medical history. A physical exam will be done. Tests may include:
Talk with your doctor about the best treatment plan for you. Treatment will depend on the cause. For example, if medications are causing acute interstitial nephritis, your doctor may stop the medication, reduce the dosage, or prescribe a different one.
Treatment options include the following:
Medications for acute interstitial nephritis may include:
- Antibiotics for bacterial infection
- Corticosteroids to reduce inflammation
Some people with interstitial nephritis need dialysis. During dialysis, a machine does the work of your kidneys by removing waste from the blood.
To help reduce your chances of acute interstitial nephritis, your doctor may suggest you avoid certain medications, such as penicillin or NSAIDs.
National Kidney Foundation http://www.kidney.org
Updated December 9, 2014. Accessed May 8, 2015.
Kodner CM, Kudrimoti A. Diagnosis and management of acute interstitial nephritis. Am Fam Physician. 2003;67(12):2527-2534.
Plakoglannis R, Nogid A. Acute interstitial nephritis associated with coadministration of vancomycin and ceftriaxone: Case series and review of the literature. Pharmacotherapy. 2007:27(10):1456-1461.
Sierra F, Suzrez M, Rey M, Vela MF. Systematic review: Proton pump inhibitor-associated acute interstitial nephritis. Aliment Pharmaco Ther. 2007:26:545-553.
Last Updated: 5/11/2013