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Acute Renal Failure on Immune Reconstitution in an HIV-Positive Patient with Miliary Tuberculosis

Jehle, Andreas W. ; Khanna, Nina ; Sigle, Jörg-Peter ; Glatz-Krieger, Katharina ; Battegay, Manuel ; Steiger, Jürg ; Dickenmann, Michael ; Hirsch, Hans H.

In: Clinical Infectious Diseases, 2004, vol. 38, no. 4, p. e32-e35

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    Titre
    • Acute Renal Failure on Immune Reconstitution in an HIV-Positive Patient with Miliary Tuberculosis
    Auteur
    • Jehle, Andreas W.. Division of Transplantation Immunology and Nephrology, Switzerland
    • Khanna, Nina. Division of Infectious Diseases, Switzerland
    • Sigle, Jörg-Peter. Division of Infectious Diseases, Switzerland
    • Glatz-Krieger, Katharina. Institute for Pathology, University Hospitals Basel, Switzerland
    • Battegay, Manuel. Division of Infectious Diseases, Switzerland
    • Steiger, Jürg. Division of Transplantation Immunology and Nephrology, Switzerland
    • Dickenmann, Michael. Division of Transplantation Immunology and Nephrology, Switzerland
    • Hirsch, Hans H.. Division of Infectious Diseases, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • Clinical Infectious Diseases, 2004, vol. 38, no. 4, p. e32-e35. The University of Chicago Press
    Autre version électronique
    Classification
    • Santé
    Identifiant OAI-PMH
    • oai:doc.rero.ch:300074
    Summary
    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