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  • Title: Fanconi syndrome and lactic acidosis associated with stavudine and lamivudine therapy.
    Author: Nelson M, Azwa A, Sokwala A, Harania RS, Stebbing J.
    Journal: AIDS; 2008 Jul 11; 22(11):1374-6. PubMed ID: 18580619.
    Abstract:
    We report a case of the nucleoside reverse transcriptase inhibitors, stavudine and lamivudine inducing Fanconi syndrome in a patient. The presence of simultaneous lactic acidosis suggests mitochondrial toxicity within the proximal renal tubular cells as the likely pathogenesis. We recommend that both the above nucleosides be added to the list of antiretroviral drugs that can induce Fanconi syndrome and that patients on stavudine and lamivudine be monitored carefully for early signs of Fanconi syndrome.
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