[Bilateral papillary necrosis during indinavir treatment]

Josaphat Iba-Ba, Jean Cyr Yombi, Etienne Danse, Benoît Van Beers, Bernard Vandercam
La Presse Médicale 2008, 37 (6 Pt 1): 967-9

INTRODUCTION: Papillary necrosis results from ischemia of the renal medulla and papillae, induced by a variety of mechanisms. Papillary necrosis is a rare adverse effect of continuous protease-inhibitor therapy with indinavir.

CASE: We describe the case of a patient who developed bilateral papillary necrosis. It was reversible after treatment interruption and increased hydration.

CONCLUSION: This case shows the need to monitor kidney markers in patients under continuous treatment with indinavir.

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