{"id":836,"date":"2010-03-28T20:37:01","date_gmt":"2010-03-29T00:37:01","guid":{"rendered":"http:\/\/blogs.nejm.org\/?p=836"},"modified":"2015-06-04T15:25:33","modified_gmt":"2015-06-04T19:25:33","slug":"kidneys-fortunately-we-have-two","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/kidneys-fortunately-we-have-two\/2010\/03\/28\/","title":{"rendered":"Kidneys: Fortunately, We Have Two"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-837\" title=\"kidney\" src=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2010\/03\/kidney.gif\" alt=\"kidney\" width=\"318\" height=\"316\" \/><a href=\"http:\/\/aids-clinical-care.jwatch.org\/cgi\/content\/full\/2010\/322\/1?q=featured_ac\" target=\"_blank\">Here&#8217;s a case<\/a> over in our <em>Journal Watch: AIDS Clinical Care<\/em> site: \u00a0a man with suspected PCP develops rapidly progressive renal failure after being starting on both empiric PCP treatment with TMP-SMX and ART with TDF\/FTC plus darunavir\/ritonavir.<\/p>\n<p>The specific questions at the end of the case were:<\/p>\n<ul>\n<li>What do you think is causing the renal failure?<\/li>\n<li>Would you continue empiric treatment for PCP or try to confirm the diagnosis?<\/li>\n<li>If you would continue empiric treatment, would you modify it?<\/li>\n<li>What would you do with his ART? Specifically, would you continue the tenofovir?<\/li>\n<li>What would be your preferred alternative regimen?<\/li>\n<\/ul>\n<p>I ran into the nephrologist Jonathan Winston this weekend, who will providing his take on the case shortly. \u00a0He asked me <em>what actually happened.<\/em><\/p>\n<p>Stay tuned &#8230;<\/p>\n<p>[Edit: \u00a0Outcome of case now posted <a href=\"http:\/\/aids-clinical-care.jwatch.org\/cgi\/content\/full\/2010\/503\/5?q=etoc_jwacc\" target=\"_blank\">here<\/a>.]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Here&#8217;s a case over in our Journal Watch: AIDS Clinical Care site: \u00a0a man with suspected PCP develops rapidly progressive renal failure after being starting on both empiric PCP treatment with TMP-SMX and ART with TDF\/FTC plus darunavir\/ritonavir. The specific questions at the end of the case were: What do you think is causing the [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,3,4,8],"tags":[83,702,797,908],"class_list":["post-836","post","type-post","status-publish","format-standard","hentry","category-antiretroviral-rounds","category-health-care","category-hiv","category-patient-care","tag-art","tag-pcp","tag-renal-failure","tag-tenofovir"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/836","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/comments?post=836"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/836\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/media?parent=836"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/categories?post=836"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/tags?post=836"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}