Document Detail


Identification of crystals in kidneys of AIDS patients treated with foscarnet.
MedLine Citation:
PMID:  9740154     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Three acquired immune deficiency syndrome patients given foscarnet to treat cytomegalovirus retinitis developed renal failure with crystal deposits within the renal glomeruli. We identified these crystals as a mixture of sodium salt, calcium salt, and a mixed salt containing both sodium and calcium ions. This composition has not been previously reported. Foscarnet can complex available ionized calcium and secondarily precipitate in glomeruli. The percentage of complexing depends on calcium concentration in serum and the poor calcium salt solubility.
Authors:
L Maurice-Estepa; M Daudon; C Katlama; C Jouanneau; V Sazdovitch; B Lacour; H Beaufils
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of kidney diseases : the official journal of the National Kidney Foundation     Volume:  32     ISSN:  1523-6838     ISO Abbreviation:  Am. J. Kidney Dis.     Publication Date:  1998 Sep 
Date Detail:
Created Date:  1998-09-28     Completed Date:  1998-09-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8110075     Medline TA:  Am J Kidney Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  392-400     Citation Subset:  IM; X    
Affiliation:
Service de Biochimie A and INSERM U 423, Hôpital Necker-Enfants Malades, Paris, France.
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MeSH Terms
Descriptor/Qualifier:
AIDS-Related Opportunistic Infections / drug therapy*,  pathology
Acquired Immunodeficiency Syndrome / drug therapy*,  pathology
Adult
Antiviral Agents / adverse effects*,  therapeutic use
Crystallization
Cytomegalovirus Retinitis / drug therapy*,  pathology
Fatal Outcome
Foscarnet / adverse effects*,  therapeutic use
Humans
Kidney Failure / chemically induced*,  pathology
Kidney Glomerulus / drug effects,  pathology
Male
Microscopy, Confocal
Middle Aged
Spectroscopy, Fourier Transform Infrared
Chemical
Reg. No./Substance:
0/Antiviral Agents; 4428-95-9/Foscarnet
Comments/Corrections
Comment In:
Am J Kidney Dis. 1998 Sep;32(3):519-20   [PMID:  9740173 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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