Acute Kidney Injury with Polyuria in a Patient with HIV

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Samuel A. Silver
Robert Richardson MD

acute kidney injury, patients with hiv, injury with polyuria, urinary tract obstruction, bilateral urinary tract, squamous cell carcinoma, human immunodeficiency virus, obstruction hypercalcemia, metastatic squamous cell, ketoacidosis hyperosmolar hyperglycemic


We describe the case of a 30-year-old man with HIV with an elevated creatinine and three litres per day of urine output. Using this patient as a framework, we review a diagnostic approach to acute kidney injury with polyuria. This case emphasizes the importance of a complete diagnostic evaluation of acute kidney injury. Without this approach, it would have been easy to attribute the patient’s acute kidney injury to his HIV and necrotizing peri-anal infection, instead of the true life- threatening cause.
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