Acute tubular nephropathy in a patient with acute HIV infection: review of the literatureReport as inadecuate




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AIDS Research and Therapy

, 11:34

First Online: 07 November 2014Received: 09 July 2014Accepted: 27 October 2014

Abstract

We report a 57-year old man with diabetes mellitus and hypertension who presented with acute HIV infection. Routine blood tests showed an elevated blood urea nitrogen and creatinine. Renal biopsy showed acute tubular nephropathy, which has not been reported to occur during acute HIV infection, in the absence of rhabdomyolysis or multiple organ system failure. Antiretroviral therapy was initiated. His renal failure gradually resolved without further intervention. At one year of follow-up his HIV RNA was undetectable, and his renal function was normal. The case illustrates a rare manifestation of acute HIV infection – acute renal failure - in an older man with diabetes and hypertension. In this setting acute kidney injury might mistakenly have been attributed to his chronic comorbidities, and this case supports early HIV-1 testing in the setting of a high index of suspicion.

KeywordsHIV Acute renal failure Acute tubular nephropathy Acute retroviral syndrome Acute HIV infection Elderly AbbreviationsAHIAcute HIV infection

ARFAcute renal failure

ARTAntiretroviral therapy

CMVCytomegalo virus

DMDiabetes mellitus

EIAEnzyme immuneassay

eGFREstimated glomerular filtration rate

EBVEpstein Barr virus

HIVANHIV-associated nephropathy.

Electronic supplementary materialThe online version of this article doi:10.1186-1742-6405-11-34 contains supplementary material, which is available to authorized users.

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Author: Jintanat Ananworanich - Anandita A Datta - James LK Fletcher - Natavudh Townamchai - Nitiya Chomchey - Eugene Kroon - Irin

Source: https://link.springer.com/



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