QJM Advance Access originally published online on January 7, 2008
QJM 2008 101(2):164-166; doi:10.1093/qjmed/hcm154
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© The Author 2008. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Oliguric acute renal failure following oral valacyclovir therapy
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Sir,
A 73-year-old Japanese man was admitted because of anuria, systemic edema and renal dysfunction. He had cardiac dysfunction due to dilated cardiomyopathy and had been treated with an angiotensin II receptor antagonist (ARB) and a beta-blocker for three years. He also had chronic kidney disease (CKD, stage III): his serum creatinine concentration, 104.3 µmol/l; estimated creatinine clearance (CrCl) (Cockcroft–Gault
Department of Internal Medicine
Shiga University of Medical Science
Otsu
Shiga, 520-2192
Japan
e-mail: toshiro@belle.shiga-med.ac.jp
Hemodialysis Unit
Shiga University of Medical Science
Otsu
Shiga, 520-2192
Japan