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A CASE OF RENAL DISEASE IN HIV INFECTED PATIENT

机译:HIV感染患者的肾脏疾病一例

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Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 Kidney diseases in human immunodeficiency virus (HIV ) infected patients has been been fourth leading cause of death after sepsis, pneumonia, and liver disease . HIV -associated nephropathy ( HIVAN) is the most common . We report a case , a male patient , 48 years , who experienced shortness of breath , cough and intermittent fever and has been reported as HIV positive , without previous antiretroviral treatment and last CD4 + count is 89 cells/mm3. There are elevated BUN and SC from day to day during treatment and proteinuria +2 as a sign of kidney disease with normal blood pressure and there was no edema . Patients given an antibiotic and ACE inhibitors as antiproteinuria . Patients with suspicion of HIVAN in this case can progress very rapidly and causes progressive decline in renal function . Prognosis of patients with HIVAN if not handled properly will develop end stage renal disease ( ESRD) in 1-4 months and had a mortality rate 4.7 times higher than HIV patients without renal impairment . /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;}
机译:正常0错误错误错误EN-US X-NONE X-NONE MicrosoftInternetExplorer4人类免疫缺陷病毒(HIV)感染患者的肾脏疾病已成为败血症,肺炎和肝病之后的第四大死亡原因。 HIV相关性肾病(HIVAN)是最常见的。我们报告了一例,男性患者,现年48岁,经历呼吸急促,咳嗽和间歇性发烧,并已报告为HIV阳性,未经先前抗逆转录病毒治疗,最后CD4 +计数为89细胞/ mm3。治疗期间每天BUN和SC升高,蛋白尿+2是肾脏疾病的征兆,血压正常,没有水肿。给予抗生素和ACE抑制剂作为抗蛋白尿的患者。在这种情况下怀疑HIVAN的患者可以非常快速地发展并导致肾功能的进行性下降。如果治疗不当,HIVAN患者的预后将在1-4个月内发展为终末期肾病(ESRD),其死亡率比没有肾功能不全的HIV患者高4.7倍。 / *样式定义* / table.MsoNormalTable {mso-style-name:“ Table Normal”; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:是; mso-style-priority:99; mso-style-qformat:是; mso-style-parent:“”; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso分页:寡妇孤儿;字体大小:11.0pt;字体家族:“ Calibri”,“ sans-serif”; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:“时代新罗马”; mso-fareast-主题字体:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:“时代新罗马”; mso-bidi-theme-font:minor-bidi;}

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