We report a 57-year old man with diabetes mellitus and hypertension who presented with acute HIV infection. Routine\nblood tests showed an elevated blood urea nitrogen and creatinine. Renal biopsy showed acute tubular nephropathy,\nwhich has not been reported to occur during acute HIV infection, in the absence of rhabdomyolysis or multiple organ\nsystem failure. Antiretroviral therapy was initiated. His renal failure gradually resolved without further intervention. At\none year of follow-up his HIV RNA was undetectable, and his renal function was normal. The case illustrates a rare\nmanifestation of acute HIV infection ââ?¬â?? acute renal failure - in an older man with diabetes and hypertension. In this\nsetting acute kidney injury might mistakenly have been attributed to his chronic comorbidities, and this case supports\nearly HIV-1 testing in the setting of a high index of suspicion.
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