title: Interpretation of serologic tests in an HIV-infected patient with kidney disease.
abstract: BACKGROUND
  A 32-year-old African American man with HIV infection presented with hemoptysis, shortness of breath and renal insufficiency. Serologic testing revealed the presence of anti-glomerular basement membrane antibodies and equivocal levels of anti-myeloperoxidase antibodies.
  
  
  METHODS
  Physical examination, urine and blood analysis, kidney ultrasound, chest radiograph, sputum cultures, bronchoscopy and renal biopsy.
  
  
  METHODS
  Reactivation of tuberculosis infection, immune complex glomerulonephritis, and 'false-positive' anti-glomerular basement membrane and anti-myeloperoxidase antibodies.
  
  
  RESULTS
  Directly observed therapy with four-drug anti-tuberculosis therapy and conservative management of chronic kidney disease.
authors.affiliation: Texas Tech Health Sciences Center at El Paso, Department of Internal Medicine, 4800 Alberta Avenue, El Paso, TX 79905, USA. german.hernandez@ttuhsc.edu
authors.forename: German T
authors.initials: GT
authors.lastname: Hernandez
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Critchfield
authors.forename: Rudolph A
authors.initials: RA
authors.lastname: Rodriguez
mesh_terms: D000328:Adult; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D007674:Kidney Diseases / Q000097:blood* / Q000175:diagnosis* / Q000209:etiology; D008297:Male; D012698:Serologic Tests