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Table 1 Cases of elevated plasma creatinine levels in children who received intravenous acyclovir

From: The effect of acyclovir on the tubular secretion of creatinine in vitro

Patient

Magnitude of increase in plasma creatinine

(from baseline)

Relevant clinical details

References

1 child

5 fold increase within 2 days

Creatinine returned to normal in 4 days

Elevated urea

No other pathology reported

[4]

10 children

transient elevation

No further impairment reported

[2]

3 children

4 fold increase within 4 days

Mild reduction in urine output

Creatinine returned to normal 1 week following acyclovir discontinuation

[3]

1 child

2 fold increase within 6 days

Creatinine continued to increase following acyclovir discontinuation. Creatinine returned to normal within 1 week

Elevated urea

Mild proteinuria

[7]

3 children

9 fold increase within 2 to 3 days

High urea

Urinary α1-microglobulin and albumin

Creatinine returned to normal in 3 - 9 days

[8]

1 child

3 fold increase within 4 days

No other information provided

[5]