An Unusual Case of Low Vancomycin Exposure Despite Extremely High Vancomycin Doses Accompanied by Renal Toxicity: A Grand Round.
Ther Drug Monit
; 45(2): 136-139, 2023 04 01.
Article
in En
| MEDLINE
| ID: mdl-36728568
ABSTRACT
ABSTRACT This grand round describes the case of a patient who received 10 grams (143.5 mg/kg) of vancomycin every 24 hours via continuous infusion, in whom the highest observed level was only 15.4 mg/L. Despite subtherapeutic levels, renal impairment was encountered, which resolved after the discontinuation of vancomycin. Glomerular hyperfiltration was found through nuclear glomerular filtration rate measurement, which likely explains the need for high doses (>6 grams per 24 hours continuous infusion) without reaching therapeutic serum levels.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Teaching Rounds
/
Kidney Diseases
Limits:
Humans
Language:
En
Journal:
Ther Drug Monit
Year:
2023
Type:
Article