title: Distal renal tubular acidosis in HIV/AIDS patient.
abstract: We report a case of renal tubular acidosis (RTA) in a patient with HIV infection and AIDS. A 33-year-old HIV-positive man with Hepatitis C and tuberculous lymphadenitis was admitted due to deep venous thrombosis and generalized muscle weakness. He had never received anti-retroviral medication. The blood gases and serum electrolytes showed hyperchloremic normal anion gap metabolic acidosis with severe hypokalemia and alkaline urine. Diagnosis of distal RTA was made. His renal function and serum globulin level remained within normal range throughout his illness. Clinicians should be alert to renal tubular disorders in HIV/AIDS patients even in the absence of anti-retroviral therapy or hypergammaglobulinemic state.
authors.affiliation: Department of Medicine, School of Medical Sciences, UniversitiSains, Malaysia.
authors.forename: Wan Yus Haniff Wan
authors.initials: WY
authors.lastname: Isa
authors.forename: Kamaliah M
authors.initials: KM
authors.lastname: Daud
mesh_terms: D000141:Acidosis, Renal Tubular / Q000150:complications* / Q000175:diagnosis*; D000163:Acquired Immunodeficiency Syndrome / Q000150:complications / Q000175:diagnosis; D000328:Adult; D015658:HIV Infections / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D008297:Male