“…There are several reports of extraintestinal manifestation in the kidney in Crohn's disease. Tubulointerstitial nephritis has been reported in 9 patients, but occurred during follow-up of the bowel disease, and was not associated with drug treatment (Larchet et al 1988;Archimandritis and Weetch 1993;Tovbin et al 2000;Izzedine et al 2002;Marcus et al 2008;Waters et al 2008;Shahrani Muhammad et al 2010). The main mechanisms of extraintestinal manifestation in the kidney are thought to include infectious agents, T-cell-mediated hypersensitivity, circulating bacterial endotoxins, and genetic factors (Colvin et al 2014).…”