[HIV-associated nephropathy with amoebic enteritis: a case report and literature review].
We herein describe a case of HIV-associated nephropathy (HIVAN) in a 64-year-old HIV antibody-positive man presenting with proteinuria. Laboratory examinations showed positive proteinuria, a high β2-microglobulin level and decreased creatinine clearance. He underwent a percutaneous renal biopsy, and a pathologic evaluation revealed a collapsing form of focal sclerosing glomerulosclerosis. Histologically, HIVAN is a collapsing form of focal sclerosing glomerulosclerosis (FSGS), which can be distinguished from idiopathic FSGS by the presence of microcystic tubular dilatation and interstitial inflammation. The patient was diagnosed with HIV-associated nephropathy and was started on ART. The HIV-associated nephropathy did not progress to acute renal failure, and long-term survival has been observed for over 12 years.
Division of Infection Control and Prevention University of Occupational and Environmental Health; First Department of Internal Medicine University.
Katsunori
K
Suzuki
Kazuyoshi
K
Saito
Yoshiya
Y
Tanaka
D016263:AIDS-Associated Nephropathy / Q000150:complications* / Q000175:diagnosis*; D044966:Anti-Retroviral Agents / Q000627:therapeutic use; D004404:Dysentery, Amebic / Q000150:complications*; D004751:Enteritis / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
D044966:Anti-Retroviral Agents