TY - JOUR
T1 - Destructive spondyloarthropathy in a haemodialysis patient with HIV infection
T2 - Case report and literature review
AU - Agarwal, Vikram
AU - Gandhi, V.
PY - 2013
Y1 - 2013
N2 - 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.
AB - 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.
KW - AIDS
KW - Destructive spondyloarthropathy
KW - End stage renal disease
KW - HIV
KW - Haemodialysis
UR - http://www.scopus.com/inward/record.url?scp=84879493659&partnerID=8YFLogxK
U2 - 10.1258/ijsa.2012.012119
DO - 10.1258/ijsa.2012.012119
M3 - Article
C2 - 23422069
AN - SCOPUS:84879493659
SN - 0956-4624
VL - 24
SP - 53
EP - 56
JO - International Journal of STD and AIDS
JF - International Journal of STD and AIDS
IS - 1
ER -