Plasma exchange for disseminated cryptococcosis.
Acute renal failure is frequent in HIV-infected patients and may be related to HIV-associated nephropathy, drugs, or opportunistic infections. We report a peculiar case of disseminated cryptococcosis complicated by acute renal failure associated with obstruction of intrarenal capillaries by Cryptococus neoformans dead bodies and successfully treated with plasma exchanges.
Department of Nephrology, AP-HP, Hôpital Necker, Université Paris V, Paris, France.
Guillaume
G
Bollée
Maxime
M
Touzot
Fredéric
F
Mechai
Virgine
V
Royal
Francois
F
Lefrère
Marie-Elisabeth
ME
Bougnoux
Claudine
C
Duvivier
Jean-Paul
JP
Viard
Olivier
O
Lortholary
Fadi
F
Fakhouri
D017088:AIDS-Related Opportunistic Infections / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D058186:Acute Kidney Injury / Q000150:complications*; D003453:Cryptococcosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D003455:Cryptococcus neoformans; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D007668:Kidney / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D010951:Plasma Exchange