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Hiv hyponatremia

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November 2018: Renal Failure
Zhanjun Shu, Zimeng Tian, Jinglin Chen, Jianping Ma, Aihemaiti Abudureyimu, Qianqian Qian, Li Zhuo
Hyponatremia is the most common electrolyte disorder in hospitals. Many medical illnesses, including congestive heart failure, liver failure, renal failure and pneumonia, may be associated with hyponatremia. In addition, hyponatremia in patients with the acquired immunodeficiency syndrome (AIDS) and AIDS-related complex (ARC) was first reported in 1993. The evidence suggests that severe hyponatremia is associated with increased morbidity and mortality in human immunodeficiency virus (HIV)/AIDS patients; however, the incidence of hyponatremic syndrome in HIV/AIDS patients remains very high in clinical practice, as almost 40% of HIV/AIDS inpatients in Xinjiang, a developing region of China, are hyponatremic...
November 2018: Renal Failure
Philippe Braconnier, Marc Delforge, Maria Garjau, Karl Martin Wissing, Stéphane De Wit
BACKGROUND: Hyponatremia is a frequent electrolyte disorder in HIV-infected patients with a prevalence of up to 56% in the pre-cART era. Several studies have demonstrated that patients with hyponatremia are at an increased risk of death. We aimed to investigate the prevalence of hyponatremia in the recent cART-era and evaluate its association with mortality. METHODS: Single-center retrospective cohort study. A total of 1196 newly diagnosed and cART-naïve HIV patients followed at the AIDS Reference Center, St Pierre University Hospital in Brussels, Belgium, between 1 January 1998 and 31 December 2013 were included...
January 26, 2017: BMC Infectious Diseases
Ying Wen, Hai Bo Ding, Wei Chen, Ying Zhou, Wen Wang, Yu Wang, Xu Lu, Jing Liu, Jing Kang, Wenqing Geng, Hong Shang, Pei Liu
To assess the effect that hormonal disturbances have on HIV prognosis in male patients. A prospective follow-up study was conducted among male HIV patients who started antiretroviral therapy (ART) between July 1, 2011 and June 30, 2014. The final follow-up session occurred before December 31, 2014. We examined the correlation between pre-ART hormone levels and disease prognosis. The Kaplan-Meier method and the multivariate Cox proportional hazard model were used to identify hormone-related predictors of immunological failure and mortality...
December 2016: Medicine (Baltimore)
Omar K Siddiqi, Melissa A Elafros, Christopher M Bositis, Igor J Koralnik, William H Theodore, Jason F Okulicz, Lisa Kalungwana, Michael J Potchen, Izukanji Sikazwe, Gretchen L Birbeck
OBJECTIVE: To identify the etiology of new-onset seizure in HIV-infected Zambian adults and identify risk factors for seizure recurrence. METHODS: A prospective cohort study enrolling HIV-infected adults with new-onset seizure within 2 weeks of index seizure obtained clinical, laboratory, and neuroimaging data to determine seizure etiology. Participants were followed to identify risk factors for seizure recurrence. Risk factors for mortality were examined as mortality rates were unexpectedly high...
January 31, 2017: Neurology
Manasa Kandula, Amar H Kelkar, Nicole Liberio, Meenakshy K Aiyer
BACKGROUND: Cryptococcal infections have been mostly associated with immunocompromised individuals, 80-90% of whom have been HIV-positive patients. Increasingly, cryptococcal infections are being reported in cirrhotic patients who are HIV-negative. The underlying immunologic defects in cirrhotic patients seem to play an important role in predisposing them to cryptococcosis and affecting their morbidity and mortality. CASE PRESENTATION: We present a case of disseminated cryptococcosis in an HIV-negative patient with underlying cirrhosis, who had rapid worsening of his hyponatremia with renal failure and was unable to recover, despite aggressive measures...
2016: Journal of Community Hospital Internal Medicine Perspectives
Sonia Ben Nasr, Nawel Chaouch, Sawssen Bacha, Sana Cheikh Rouhou, Hajer Racil, Mourad Zarrouk, Abdellatif Chabbou
BACKGROUND: Despite scientific advances, extended forms of pulmonary tuberculosis are still relevant. The aim of our study was to determine clinical features and outcome of extended pulmonary tuberculosis in immunocompetent patients. METHODS: Retrospective comparative study including 100 patients HIV negative, presenting pulmonary tuberculosis divided into 2 groups of 50 patients (group1: extended tuberculosis and group2: localized tuberculosis). Tuberculosis was considered extended when reaching above one lobe...
August 2015: La Tunisie Médicale
Sonia Ben Nasr, Nawel Chaouch, Sawssen Bacha, Sana Cheikh Rouhou, Hajer Racil, Mourad Zarrouk, Abdellatif Chabbou
BACKGROUND: Despite scientific advances, extended forms of pulmonary tuberculosis are still relevant. The aim of our study was to determine clinical features and outcome of extended pulmonary tuberculosis in immunocompetent patients. METHODS: Retrospective comparative study including 100 patients HIV negative, presenting pulmonary tuberculosis divided into 2 groups of 50 patients (group1: extended tuberculosis and group2: localized tuberculosis). Tuberculosis was considered extended when reaching above one lobe...
August 2015: La Tunisie Médicale
Hector Madariaga, Aswini Kumar, Apurv Khanna
BACKGROUND: Hyponatremia is the most common disorder of body fluid and electrolyte balance in clinical practice. It is associated with increased morbidity, mortality, and length of hospital stay. Little is known about the relationship between hyponatremia and HIV disease. It is thought that hyponatremia in HIV is associated with a syndrome of inappropriate ADH secretion (SIADH), volume depletion, and adrenal insufficiency. Another common association is with Pneumocystis jirovecii (PCP)...
October 5, 2015: American Journal of Case Reports
Stephanie Moss, Robin Mcgoey
No abstract text is available yet for this article.
January 2015: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
Sunggeun Lee, Anitsira Collado, Montish Singla, Roger Carbajal, Ashok Chaudhari, Donald Baumstein
Hyponatremia is one of the most common electrolyte imbalances in HIV patients. The differential diagnosis may include hypovolemic hyponatremia, syndrome of inappropriate antidiuretic hormone secretion (SIADH), and adrenal insufficiency. Here, we describe a case of hyponatremia secondary to cerebral salt wasting syndrome (CSWS) in an HIV patient with cryptococcal meningitis. A 52-year-old man with a history of diabetes and HIV was admitted for headache and found to have cryptococcal meningitis. He was also found to have asymptomatic hyponatremia...
March 2016: American Journal of Therapeutics
Ying Wen, Ying Zhou, Wen Wang, Yu Wang, Xu Lu, Cui Ming Sun, Wei Cui, Jing Liu, Wen Qing Geng, Hong Shang, Pei Liu
OBJECTIVE: Short-term mortality rates remain high among critically ill human immunodeficiency virus-1 (HIV-1) patients though long-term mortality rates have dropped. Baseline risk factors for short-term mortality have not yet been determined in China. In this paper, we herein describe clinical characteristics, laboratory findings, causes of clinical deterioration, and risk factors associated with mortality among HIV-1 patients within six months after hospital admission. METHODS: We carried out a prospective study of hospitalized patients in advanced stages of HIV infection...
2014: Internal Medicine
Lijun Xu, Hanhui Ye, Fan Huang, Zongxing Yang, Biao Zhu, Yan Xu, Yunqing Qiu, Lanjuan Li
OBJECTIVES: To evaluate whether the serum sodium concentration is associated with the progression and long-term prognosis of Chinese HIV/AIDS patients. METHODS: Three hundred and eighty seven hospitalized patients were recruited into this retrospective cohort study. The strata of serum sodium concentration were moderate/severe hyponatremia, mild hyponatremia and normonatremia. Disease progression was estimated using CD4 counts and the WHO clinical stage. Correlation analysis was used to evaluate the serum sodium concentration with disease progression...
2014: PloS One
Arthur K Mutyaba, Sarvesh Balkaran, Robert Cloete, Naude du Plessis, Motasim Badri, Johan Brink, Bongani M Mayosi
OBJECTIVE: The causes of constrictive pericarditis and predictors of perioperative outcome after pericardiectomy have not been clearly elucidated, especially in Africa, where the disease characteristics differ from those in developed countries. Furthermore, the effect of human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) on pericardial constriction and outcomes after surgery is unknown. We investigated the causes of constrictive pericarditis, outcomes after pericardiectomy, and predictors of mortality in Cape Town, South Africa, during a 22-year period of high HIV/AIDS prevalence...
December 2014: Journal of Thoracic and Cardiovascular Surgery
Raúl Herrera, Carlos M Orantes, Miguel Almaguer, Pedro Alfonso, Héctor D Bayarre, Irma M Leiva, Magaly J Smith, Ricardo A Cubias, Carlos G Torres, Walter O Almendárez, Francisco R Cubias, Fabrizio E Morales, Salvador Magaña, Juan C Amaya, Edgard Perdomo, Mercedes C Ventura, Juan F Villatoro, Xavier F Vela, Susana M Zelaya, Delmy V Granados, Eduardo Vela, Patricia Orellana, Reynaldo Hevia, E Jackeline Fuentes, Reinaldo Mañalich, Raymed Bacallao, Mario Ugarte, María I Arias, Jackelin Chávez, Nelson E Flores, Claudia E Aparicio
INTRODUCTION: Chronic kidney disease is a serious health problem in El Salvador. Since the 1990s, there has been an increase in cases unassociated with traditional risk factors. It is the second leading cause of death in men aged >18 years. In 2009, it was the first cause of in-hospital death for men and the fifth for women. The disease has not been thoroughly studied. OBJECTIVE: Characterize clinical manifestations (including extrarenal) and pathophysiology of chronic kidney disease of nontraditional causes in Salvadoran farming communities...
April 2014: MEDICC Review
Madhav C Menon, Amarinder S Garcha, Apurv Khanna
No abstract text is available yet for this article.
February 2014: Journal of Nephrology
Mireia Martínez-Cortés, Nadia Ogando-Portilla, Beatriz Pecino-Esquerdo, Virginia Pérez-Maciá
(1)Hyponatremia is a known adverse effect of antidepressants. A review of the literature was performed in relation to one case treated in our hospital to identify risk factors and possible psychopharmacologic alternatives. A 57-year old woman with HIV and HCV suffered 4 episodes of severe hyponatremia within 5 months of treatment involving the following drugs: thiazide diuretic, venlafaxine, citalopram, olanzapine, haloperidol, enalapril and escitalopram. Risk of hyponatremia is higher in patients treated with antidepressants, especially selective serotonin reuptake inhibitors...
November 2013: Actas Españolas de Psiquiatría
Revekka Babayev, Sofia Terner, Subani Chandra, Jai Radhakrishnan, Sumit Mohan
Hyponatremia associated with diuretic use can be clinically difficult to differentiate from the syndrome of inappropriate antidiuretic hormone secretion (SIADH). We report a case of a 28-year-old man with HIV (human immunodeficiency virus) and Pneumocystis pneumonia who developed hyponatremia while receiving trimethoprim-sulfamethoxazole (TMP/SMX). Serum sodium level on admission was 135 mEq/L (with a history of hyponatremia) and decreased to 117 mEq/L by day 7 of TMP/SMX treatment. In the setting of suspected euvolemia and Pneumocystis pneumonia, he was treated initially for SIADH with fluid restriction and tolvaptan without improvement in serum sodium level...
December 2013: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
Alexandre B Libório, Geraldo B Silva, Carolina G C H Silva, Francisco J C Lima Filho, Adalberto Studart Neto, Willy Okoba, Veralice M S de Bruin, Sônia M H A Araújo, Elizabeth F Daher
BACKGROUND: There are no reports on hyponatremia and acute kidney injury (AKI) involved in the course of HIV-related toxoplasmic encephalitis (TE). The main objective of this study was to describe the occurrence of hyponatremia and its relationship with AKI and mortality in HIV-related toxoplasmic encephalitis (TE). METHODS: This was a retrospective cohort study on patients with HIV-related TE. AKI was considered only when the RIFLE (risk, injury, failure, loss, end-stage) criterion was met, after the patient was admitted...
November 2012: Brazilian Journal of Infectious Diseases
Petar M Seferović, Arsen D Ristić, Ružica Maksimović, Dejan S Simeunović, Ivan Milinković, Jelena P Seferović Mitrović, Vladimir Kanjuh, Sabine Pankuweit, Bernhard Maisch
Despite a myriad of causes, pericardial diseases present in few clinical syndromes. Acute pericarditis should be differentiated from aortic dissection, myocardial infarction, pneumonia/pleuritis, pulmonary embolism, pneumothorax, costochondritis, gastroesophageal reflux/neoplasm, and herpes zoster. High-risk features indicating hospitalization are: fever >38 °C, subacute onset, large effusion/tamponade, failure of non-steroidal anti-inflammatory drugs (NSAIDs), previous immunosuppression, trauma, anticoagulation, neoplasm, and myopericarditis...
May 2013: Heart Failure Reviews
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