A 54-year-old man with a history of cirrhosis secondary to hepatitis C virus (HCV) infection has had a progressive decline in kidney function. He was diagnosed with HCV 15 years ago; he tried interferon treatment, but this failed. He received a transjugular intrahepatic shunt 10 years ago after an episode of esophageal variceal bleeding. He has since been taking furosemide and spironolactone as maintenance treatment for ascites, and he has no other medical concerns, such as hypertension or diabetes. What is the cause of the patient’s renal failure? The answer can be found in this article from Cleveland Clinic Journal of Medicine: http://www.ccjm.org/current-issue/issue-single-view/renal-failure-in-hcv-cirrhosis/6336c91b99df7f186817921a5d5c08ab.html.
Patient Information
Renal failure in HCV cirrhosis
