Destructive spondyloarthropathy in a haemodialysis patient with HIV infection: Case report and literature review

Vikram Agarwal, V. Gandhi

Research output: Contribution to journalArticlepeer-review

Abstract

This case describes the presentation, diagnosis and treatment of a 59-year-old man with medical history of HIV/AIDS and hepatitis C on haemodialysis for end stage renal disease who presented with debilitating neck pain radiating down to the left arm with associated weakness of left upper and lower extremities. He had received a prolonged course of intravenous antibiotics for similar complaints. His initial presentation, coupled with the history of recent antibiotics, triggered a non-infectious work-up and the patient was diagnosed with destructive spondyloarthropathy, a rare but under-diagnosed complication of patients on long-term haemodialysis. This was confirmed on imaging studies. The patient refused surgical intervention, and was treated conservatively. With improved survival of patients with HIV infection, other significant co-morbidities like end stage renal disease and their potential complications in these patients have become an increasing focus of attention. Destructive spondyloarthropathy is a severely debilitating condition and can be potentially fatal. The aetiopathogenesis, management and ethical and legal implications of HIV patients with destructive spondyloarthropathy secondary to long-term haemodialysis are discussed.

Original languageEnglish
Pages (from-to)53-56
Number of pages4
JournalInternational Journal of STD and AIDS
Volume24
Issue number1
DOIs
StatePublished - 2013
Externally publishedYes

Keywords

  • AIDS
  • Destructive spondyloarthropathy
  • End stage renal disease
  • HIV
  • Haemodialysis

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