Renal Fellow Network: Pathology Case of the Month

Renal Fellow Network: Pathology Case of the Month: An elderly woman presented for evaluation to the rheumatology service with arthritis and neuropathy. She was hypertensive and had microscop...

The Kidney Doctor: Will Peginesatide (Omontys) ever see the light of ...

The Kidney Doctor: Will Peginesatide (Omontys) ever see the light of ...: In the New York Times story by Andrew Pollack on February 24 , both Dan Coyne and I are interviewed about the peginesatide (Omontys) recall...

Renal Fellow Network: Πάντα ρεί - once more on the (right) fluids

Renal Fellow Network: Πάντα ρεί - once more on the (right) fluids: Yet another manuscript evaluating fluids for IV replacement was published in JAMA this week underscoring the importance and controvers...

AKI from valacyclovir?

Today in fellows clinic we saw an octogenarian with acute renal failure of unclear etiology.  She has CLL (in remission) and is on valacyclovir for chronic, recurrent HSV.  The question arose of whether valacyclovir is associated with acute kidney injury.

I happened upon this study which came out in AJKD last month.  Contrary to conventional wisdom, acyclovir and valacyclovir do not appear to be associated with AKI hospitalizations, at least within 30 days of new Rx, and as compared with famciclovir.

Elevated Total Serum Calcium with normal Ionized Calcium.

Happens in multiple myeloma. Treatment not indicated.

http://www.ncbi.nlm.nih.gov/pubmed?term=1872567

Case 4-2013 — NEJM

Case 4-2013 — NEJM

Answer and full case discussion of renal infarct case published in NEJM few weeks back.