Acute renal failure on immune reconstitution in an HIV-positive patient with miliary tuberculosis

被引：34

作者：

Jehle, AW

Khanna, N

Sigle, JP

Glatz-Krieger, K

Battegay, M

Steiger, J

Dickenmann, M

Hirsch, HH

机构：

[1] Univ Basel Hosp, Div Infect Dis, CH-4031 Basel, Switzerland

[2] Univ Basel Hosp, Div Transplantat Immunol & Nephrol, CH-4031 Basel, Switzerland

[3] Univ Basel Hosp, Inst Pathol, CH-4031 Basel, Switzerland

[4] Univ Basel Hosp, Dept Med Microbiol, CH-4031 Basel, Switzerland

来源：

CLINICAL INFECTIOUS DISEASES | 2004年 / 38卷 / 04期

关键词：

D O I：

10.1086/381441

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Immune reconstitution syndrome following HAART in human immunodeficiency virus (HIV)-infected patients is characterized by inflammatory worsening of organ functions despite improvement in HIV surrogate markers of HIV infection. We describe a patient with miliary tuberculosis and urinary shedding of acid fast bacilli who developed acute renal failure 8 weeks after initiation of antituberculosis therapy and 6 weeks after initiation of HAART. The diagnostic workup and further course of disease implicated immune reconstitution syndrome as the cause of acute renal failure.

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页码：E32 / E35

页数：4

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