• Clin Med (Lond) · Dec 2015

    HIV and the kidney in the acute medical unit.

    • John W Booth and Frank A Post.
    • UCL Centre for Nephrology, Royal Free Hospital NHS Foundation Trust, London, UK johnwrbooth@doctors.org.uk.
    • Clin Med (Lond). 2015 Dec 1; 15 (6): 571576571-6.

    AbstractAcute kidney injury (AKI) is encountered commonly in HIV-positive patients admitted to the acute medical unit. The spectrum of AKI has changed in the era of combination anti-retroviral therapy, and now includes adverse effects of commonly used anti-retroviral drugs in addition to traditional precipitants such as severe sepsis or exposure to nephrotoxic antimicrobials. An accurate diagnosis requires careful integration of clinical data including volume status, history of potentially nephrotoxic exposures and consideration of immuno-virological status. This article provides an overview of common causes of AKI in HIV and presents a framework by which the acute care physician may approach the finding of an elevated serum creatinine in a patient with HIV.© Royal College of Physicians 2015. All rights reserved.

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