PT  - JOURNAL ARTICLE
AU  - John W Booth
AU  - Frank A Post
TI  - HIV and the kidney in the acute medical unit
AID  - 10.7861/clinmedicine.15-6-571
DP  - 2015 Dec 01
TA  - Clinical Medicine
PG  - 571--576
VI  - 15
IP  - 6
4099  - http://www.rcpjournals.org/content/15/6/571.short
4100  - http://www.rcpjournals.org/content/15/6/571.full
SO  - Clin Med2015 Dec 01; 15
AB  - Acute 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.