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Published on: March 19, 2018
[Indinavir-associated tubulointerstitial renal disease]
Raymonde F Gagnon1, Amira Mehio, Sameena Iqbal
1Département de médecine, centre hospitalier de l'université McGill, Montréal, Canada. raymonde.gagnon@muhc.mcgill.ca
Indinavir crystalluria can cause kidney damage in HIV patients. This case highlights how drug crystals impact the renal tubulointerstitial compartment, potentially necessitating treatment changes.
Area of Science:
- Nephrology
- Infectious Diseases
- Pharmacology
Background:
- Indinavir is an antiretroviral medication used to treat HIV/AIDS.
- Indinavir is known to cause crystalluria, which can lead to urinary tract abnormalities.
Observation:
- A case of progressive leucocyturia (white blood cells in urine) and renal impairment developed during indinavir therapy.
- The patient experienced adverse effects related to indinavir-induced crystalluria.
Findings:
- Indinavir crystalluria significantly impacts the tubulointerstitial compartment of the kidney.
- The crystalluria led to observable renal damage and increased white blood cells in the urine.
Implications:
- Clinicians should monitor renal function in patients treated with indinavir.
- Understanding the renal impact of indinavir crystalluria is crucial for managing HIV patients.
- Crystalluria-associated nephrotoxicity may require dose adjustment or drug discontinuation.
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