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Background : As HIV/AIDS has emerged to be the first modern pandemic with ever increasing prevalence globally, the present study was undertaken to study the renal profile in patients living with HIV/AIDS, not started on ART.Materials and Methods: This was a hospital based observational study where 277 cases were studied in details with the aims and objectives of studying the renal manifestations in ART naïve patients with HIV/AIDS and its relationship with CD4 counts. A detailed history, clinical examination and relevant investigations were done in patients above 15yrs of age who were not on ART.Results and Observations: Out of 277 seropositives, 40 had proteinuria (14.44%) on urine examination. The mean serum creatinine of the total study population was found to be 0.92±0.83 mg/dl while 14 cases (5%) had serum creatinine more than 1.5mg/dl. A decrease in eGFR (<60ml/min/1.73m 2 ) was seen in 28 (10.1%) cases. Out of 178 cases with CD4 count more than 200cells/mm 3 , renal dysfunction was found in 12 cases (6.7%), whereas the cases with CD4 count less than or equal to 200cells/mm 3 , 19 out of 99 cases (19.2%) had renal dysfunction which is statistically significant Conclusion: In the present study, which included ART naïve patients with HIV/AIDS, predominant renal involvement was in the form of proteinuria followed by raised serum creatinine levels and reduced eGFR. A negative correlation was found between renal dysfunction and CD4 counts.

Herpes zoster is caused by reactivation of the latent varicella zoster virus which is present due to an earlier varicella infection. The simultaneous occurrence of herpes zoster and varicella zoster in the same patient is sufficiently uncommon to warrant notice. During the prodromal stage, the only presenting symptom may be odontalgia, which may prove to be a diagnostic challenge, since many diseases can cause or facial pain, and the diagnosis must be properly established before final treatment. Here we present a case of herpes zoster involving the second division of right trigeminal nerve masquerading as odontalgia with simultaneous occurrence of varicella zoster and right facial nerve palsy.