2019 Ryan White HIV/AIDS Program CLINICAL CONFERENCE

Prerenal

• Most common etiology • Hypovolemia due to GI losses • Poor oral fluid intake • Adrenal insufficiency/hypoaldosteronism • Sepsis • CHF • Cirrhosis

Slide10of63FromJELocke,MD,MPHatNewOrleans,LA,December4-7,2019,RyanWhiteHIV/AIDSProgramCLINICAL CONFERENCE, IAS  USA.

Acute Tubular Necrosis (ATN) • Hypoperfusion injury (ischemic) • Medications (most common) • NSAIDs • Amphotericin B • Pentamidine • Cidofovir, foscarnet • Aminoglycides

• AIN: bactrim, rifampin, β-lactam antibiotics

Slide11of63FromJELocke,MD,MPHatNewOrleans,LA,December4-7,2019,RyanWhiteHIV/AIDSProgramCLINICAL CONFERENCE, IAS  USA.

Parenchymal infection

• Fungal infections

• Granuloma formation from TB

• CMV, EBV, BK – cause interstitial nephritis

Slide12of63FromJELocke,MD,MPHatNewOrleans,LA,December4-7,2019,RyanWhiteHIV/AIDSProgramCLINICAL CONFERENCE, IAS  USA.