02 April 2020
: Case report
Interstitial Lung Disease Secondary to Long-Term Nitrofurantoin Use
Adverse events of drug therapy
Andrew J. Chin1ABCDEFG*, Saadri Rashid2ABCDEFG, Tarek R. Gharibeh3ABCDEFG, Peter S. Kibbe2ABCDEFG, Jonathan H. Wynbrandt2ABCDEFGDOI: 10.12659/AJCR.920386
Am J Case Rep 2020; 21:e920386
Abstract
BACKGROUND: Interstitial lung disease, also known as diffuse parenchymal lung disease, is a group of diseases that affects the interstitium of the lungs and can lead to progressive fibrosis of the lungs. The potential causes of interstitial lung disease are broad and includes infection, malignancy, autoimmune/connective tissues diseases, inhaled substances, and certain medications. One of the medications that can cause interstitial lung disease is nitrofurantoin.
CASE REPORT: A 88-year-old man with recurrent urinary tract infections was treated with long-term nitrofurantoin prophylactic therapy. He took 100 mg of nitrofurantoin on a daily basis for over 10 years as prophylactic therapy for recurrent urinary tract infections, and subsequently developed chronic respiratory failure requiring supplemental oxygen. Chest radiography and high-resolution computed tomography imaging were performed and revealed pulmonary fibrosis consistent with interstitial lung disease.
CONCLUSIONS: Although nitrofurantoin is one of the most commonly used antibiotics in the treatment of urinary tract infections and is often considered a relatively safe medication, long-term use can lead to the development of interstitial lung disease.
Keywords: Lung Diseases, Interstitial, Nitrofurantoin, Pulmonary Fibrosis, Urinary Tract Infections, Aged, 80 and over, Anti-Infective Agents, Urinary
2150 42
In Press
05 Dec 2023 : Case report
Am J Case Rep In Press; DOI:
01 Dec 2023 : Case report
Am J Case Rep In Press; DOI:
01 Dec 2023 : Case report
Am J Case Rep In Press; DOI:
01 Dec 2023 : Case report
Am J Case Rep In Press; DOI:
Most Viewed Current Articles
06 Dec 2021 : Case report
DOI :10.12659/AJCR.934406
Am J Case Rep 2021; 22:e934406
07 Dec 2021 : Case report
DOI :10.12659/AJCR.934347
Am J Case Rep 2021; 22:e934347
19 Jul 2022 : Case report
DOI :10.12659/AJCR.936128
Am J Case Rep 2022; 23:e936128
13 Jul 2022 : Case report
DOI :10.12659/AJCR.936441
Am J Case Rep 2022; 23:e936441