title: [Patient from Gambia with sonographic white kidneys].
abstract: METHODS
  A 39-year-old male refugee from Gambia is admitted to the emergency room with fever, body aches and productive cough.
  
  
  METHODS
  Laboratory, ultrasound and CT investigations show a sepsis due to Staphylcoccus aureus, a renal failure with the appearance of "snow-white" kidneys on ultrasound and a previously unknown acute HIV-infection.
  
  
  METHODS
  Broad antibiotic treatment and an antiretroviral therapy (adapted to the impaired renal function) as well as hemodialysis are commenced. Despite of successful sepsis treatment and viral load reduction, the kidney function does not recover. Histologically, a HIV-nephropathy is confirmed.
  
  
  CONCLUSIONS
  The appearance of "snow-white" kidneys on ultrasound can be a characteristic sign of a HIV-associated nephropathy.
authors.forename: Eva
authors.initials: E
authors.lastname: Aebert
authors.forename: Maike
authors.initials: M
authors.lastname: Büttner-Herold
authors.forename: Frederick
authors.initials: F
authors.lastname: Pfister
authors.forename: Thomas
authors.initials: T
authors.lastname: Mühlbacher
authors.forename: Christoph
authors.initials: C
authors.lastname: Berg
authors.forename: Martin
authors.initials: M
authors.lastname: Müller
authors.forename: Michael
authors.initials: M
authors.lastname: Haap
authors.forename: Ferruh
authors.initials: F
authors.lastname: Artunc
mesh_terms: D016263:AIDS-Associated Nephropathy / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology; D000328:Adult; D005714:Gambia; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male