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Table 1 Cases of non-obstetric bilateral renal cortical necrosis related to tranexamic acid administration reported in the literature

From: Tranexamic acid-induced acute bilateral renal cortical necrosis in a young trauma patient: a case report and literature review

 

Koo, et al. (14)

Levin, et al. (15)

Odabas, et al. (16)

Park, et al. (17)

Ko, et al. (13)

Age (yr) / Sex

37 / M

24 / F

21 / M

49 / M

82 / F

Indication of TXA

Hemoptysis complicating post-tuberculosis bronchiectasis

Hemorrhagic diathesis complicating acute promyelocytic leukemia

Epistaxis complicating hemophilia A

Traumatic hemothorax

Hematemesis following endoscopic papillectomy

Hemodynamic instability

No

NR

No

No

No

Cumulative dose of TXA (g)

15

NR

12

NR

12

Duration until AKI onset (d)

6

2

3

1

4

Anuria

Yes

Yes

Yes

Yes

Yes

Requirement of RRT

Yes

Yes

Yes

Yes

Yes

Duration until onset of RRT (d)

NR

5

9

NR

4

Recovery of renal function

Yes

No

NR

Yes

No

Time to renal recovery (wk)

3

 

NR

32

 

Death

No

No

No

No

No

  1. yr, year; d, day; wk, week; M, Male; F, Female; NR, non reported; TXA, tranexamic acid; AKI, acute kidney injury; RRT, renal replacement therapy