Extended Peritoneal Dialysis and Renal Recovery in HIV-Infected Patients with Prolonged AKI: A Report of 2 Cases
Peritoneal dialysis (PD) has recently been established as a treatment option for renal replacement therapy (RRT) in patients with acute kidney injury (AKI). Its efficacy in providing fluid and small solute removal has also been demonstrated in clinical trials and is equivalent to hemodialysis (HD)....
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Nephrology |
| Online Access: | http://dx.doi.org/10.1155/2017/8620832 |
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| author | Donlawat Saengpanit Pongpratch Puapatanakul Piyaporn Towannang Talerngsak Kanjanabuch |
| author_facet | Donlawat Saengpanit Pongpratch Puapatanakul Piyaporn Towannang Talerngsak Kanjanabuch |
| author_sort | Donlawat Saengpanit |
| collection | DOAJ |
| description | Peritoneal dialysis (PD) has recently been established as a treatment option for renal replacement therapy (RRT) in patients with acute kidney injury (AKI). Its efficacy in providing fluid and small solute removal has also been demonstrated in clinical trials and is equivalent to hemodialysis (HD). However, effect of RRT modality on renal recovery after AKI remains a controversy. Moreover, the setting of human immunodeficiency virus- (HIV-) infected patients with AKI requiring RRT makes the decision on RRT initiation and modality selection more complicated. The authors report here 2 cases of HIV-infected patients presenting with severe AKI requiring protracted course of acute RRT. PD had been performed uneventfully in both cases for 4–9 months before partial renal recovery occurred. Both patients eventually became dialysis independent but were left in chronic kidney disease (CKD) stage 4. These cases highlight the example of renal recovery even after a prolonged course of dialysis dependence. Thus, PD might be a suitable option for HIV patients with protracted AKI. |
| format | Article |
| id | doaj-art-7a9bcc4abbf04f02bf73391f557373dc |
| institution | Kabale University |
| issn | 2090-6641 2090-665X |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Nephrology |
| spelling | doaj-art-7a9bcc4abbf04f02bf73391f557373dc2025-02-03T01:31:13ZengWileyCase Reports in Nephrology2090-66412090-665X2017-01-01201710.1155/2017/86208328620832Extended Peritoneal Dialysis and Renal Recovery in HIV-Infected Patients with Prolonged AKI: A Report of 2 CasesDonlawat Saengpanit0Pongpratch Puapatanakul1Piyaporn Towannang2Talerngsak Kanjanabuch3Division of Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, ThailandDivision of Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, ThailandCAPD Excellent Center, King Chulalongkorn Memorial Hospital, Bangkok, ThailandDivision of Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, ThailandPeritoneal dialysis (PD) has recently been established as a treatment option for renal replacement therapy (RRT) in patients with acute kidney injury (AKI). Its efficacy in providing fluid and small solute removal has also been demonstrated in clinical trials and is equivalent to hemodialysis (HD). However, effect of RRT modality on renal recovery after AKI remains a controversy. Moreover, the setting of human immunodeficiency virus- (HIV-) infected patients with AKI requiring RRT makes the decision on RRT initiation and modality selection more complicated. The authors report here 2 cases of HIV-infected patients presenting with severe AKI requiring protracted course of acute RRT. PD had been performed uneventfully in both cases for 4–9 months before partial renal recovery occurred. Both patients eventually became dialysis independent but were left in chronic kidney disease (CKD) stage 4. These cases highlight the example of renal recovery even after a prolonged course of dialysis dependence. Thus, PD might be a suitable option for HIV patients with protracted AKI.http://dx.doi.org/10.1155/2017/8620832 |
| spellingShingle | Donlawat Saengpanit Pongpratch Puapatanakul Piyaporn Towannang Talerngsak Kanjanabuch Extended Peritoneal Dialysis and Renal Recovery in HIV-Infected Patients with Prolonged AKI: A Report of 2 Cases Case Reports in Nephrology |
| title | Extended Peritoneal Dialysis and Renal Recovery in HIV-Infected Patients with Prolonged AKI: A Report of 2 Cases |
| title_full | Extended Peritoneal Dialysis and Renal Recovery in HIV-Infected Patients with Prolonged AKI: A Report of 2 Cases |
| title_fullStr | Extended Peritoneal Dialysis and Renal Recovery in HIV-Infected Patients with Prolonged AKI: A Report of 2 Cases |
| title_full_unstemmed | Extended Peritoneal Dialysis and Renal Recovery in HIV-Infected Patients with Prolonged AKI: A Report of 2 Cases |
| title_short | Extended Peritoneal Dialysis and Renal Recovery in HIV-Infected Patients with Prolonged AKI: A Report of 2 Cases |
| title_sort | extended peritoneal dialysis and renal recovery in hiv infected patients with prolonged aki a report of 2 cases |
| url | http://dx.doi.org/10.1155/2017/8620832 |
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