The initial case report, involving a form of the drug that is no longer used, was published in Annals of Internal Medicine in 1963.
There were a handful of subsequent incidents, leading to a longstanding warning about taking that drug when it is outdated.
A 2004 review of the literature on tetracycline and similar antimicrobials suggested that it might be difficult to determine when the kidney ailment is caused by such a drug.
https://www.ncbi.nlm.nih.gov/pubmed/15113987
Expired tetracycline can cause a dangerous syndrome resulting in damage to the kidneys.” (Fanconi syndrome) https://www.drugs.com/tetracycline.html
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After extensive discussion w/colleagues, my vet said this is exaggerated and based on an inadequate study.
I have no pharmaceutical background, so IDK.