RT Journal Article
SR Electronic
T1 HIV and the kidney in the acute medical unit
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 571
OP 576
DO 10.7861/clinmedicine.15-6-571
VO 15
IS 6
A1 John W Booth
A1 Frank A Post
YR 2015
UL http://www.rcpjournals.org/content/15/6/571.abstract
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.