Urolithiasis in HIV-positive patients treated with atazanavir

Clin Infect Dis. 2007 Oct 15;45(8):e105-8. doi: 10.1086/521930. Epub 2007 Sep 12.

Abstract

Among protease inhibitors, atazanavir has not been associated with urolithiasis in clinical studies. We describe 11 cases of atazanavir-associated urolithiasis in patients with human immunodeficiency virus (HIV) infection. Patients with low water intake, high urinary pH, and a prior history of urinary stones may have a higher risk of atazanavir-associated urine crystallization.

MeSH terms

  • Adult
  • Atazanavir Sulfate
  • Female
  • HIV Infections / complications*
  • HIV Infections / drug therapy*
  • HIV Protease Inhibitors / adverse effects*
  • HIV Protease Inhibitors / therapeutic use
  • Humans
  • Hydrogen-Ion Concentration
  • Male
  • Middle Aged
  • Oligopeptides / adverse effects*
  • Oligopeptides / therapeutic use
  • Pyridines / adverse effects*
  • Pyridines / therapeutic use
  • Risk Factors
  • Urine / chemistry
  • Urolithiasis / chemically induced*
  • Water / metabolism

Substances

  • HIV Protease Inhibitors
  • Oligopeptides
  • Pyridines
  • Water
  • Atazanavir Sulfate