Öz
TherapyCoronavirus disease 2019 (COVID-19) is a highly infective disease caused by the severe acute respiratory syndrome coronavirus 2 virus (SARS-CoV-2). It has been shown that the patients who contracted COVID-19 disease are exposed to kidney damage through acute kidney injury (AKI), mild proteinuria, hematuria or slight elevation in creatinine, probably as a result of kidney tropism of the virus and multiorgan failure. In this case report, a 69-year-old patient with a background of comorbid conditions, such as hypertension (HT), diabetes mellitus (DM) and a history of tuberculosis, had COVID-19 pneumonia associated with AKI. He was followed in intensive care units (ICU) due to the signs of hypoxia, hypotension and anuria. Hemodialysis (HD) was administrated in three sessions. The patient responded to the treatment, and his kidneys were fully recovered.
Anahtar Kelimeler
Kaynakça
- Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention (published online ahead of print February 24, 2020). JAMA. https://doi.org/10.1001/jama.2020.2648.
- US Renal Data System. https://www.usrds.org/Default.aspx Accessed March 3, 2020.
- Durvasula R, Wellington T, McNamara E, et al. COVID-19 and kidney failure in the acute care setting: our experience from seattle. Am J Kidney Dis. 2020; 76:4–6. https://doi.org/10.1053/j.ajkd.2020.04.001.
- Hirsch JS, Ng JH, Ross DW, et al. Acute kidney injury in patients hospitalized with COVID-19. Kidney Int. 2020; 98:209–18. https://doi.org/10.1016/j.kint.2020.05.006.
- Chen N., Zhou M., Dong X. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020; 395:507–513.
- Liu W.J., Zhao M., Liu K. T-cell immunity of SARS-CoV:implications for vaccine development against MERS-CoV. Antiviral Res. 2017; 137: 82–92.
- Pesanti E.L. Immunologic defects and vaccination in patients with chronic renal failure. Infect Dis Clin North Am. 2001; 15: 813–832.
- Pei G, Zhang Z, Peng J, et al. Renal involvement and early prognosis in patients with COVID-19 pneumonia. J Am Soc Nephrol. 2020; 31: 1157–65. https://doi.org/10.1681/ASN.2020030276.
- Xiao G, Hu H, Wu F, et al. Acute kidney injury in patients hospitalized with COVID-19 in Wuhan, China: a single-center retrospective observational study. medRxiv. (2020). https://doi.org/10.1101/2020.04.06.20055194. (Epub ahead of print).
- Cheng Y, Luo R, Wang K, et al. Kidney disease is associated with in-hospital death of patients with COVID-19. Kidney Int. 2020; 97: 829–38. https://doi.org/10.1016/j.kint.2020.03.005.
- Perico L, Benigni A, Remuzzi G. Should COVID-19 concern nephrologists? why and to what extent? the emerging impasse of angiotensin blockade. Nephron. 2020; 144: 213–21. https://doi.org/10.1159/000507305.
- McMichael TM, Currie DW, Clark S, et al. Epidemiology of COVID-19 in a long-term care facility in King County, Washington. N Engl J Med. 2020; 382: 2005–11. https://doi.org/10.1056/NEJMoa2005412.
- European Centre for Disease Prevention and Control Infection prevention and control for the care of patients with 2019-nCoV in healthcare settings. https://www.ecdc.europa.eu/en/publications-data/infection-prevention-and-control-care-patients-2019-ncov-healthcare-settings
Öz
Koronavirüs hastalığı 2019 (COVID-19), şiddetli akut solunum sendrom coronavirus 2 virüsünün (SARS-CoV-2) neden olduğu oldukça bulaşıcı bir hastalıktır. COVID-19 hastalığına yakalanan hastalarda akut böbrek hasarı (ABH) ortaya çıkmaktadır. AKI hafif proteinüri, hematüri ve kreatininde hafif yükselme gibi tablolar ile kendini göstermektedir. Virüsün böbrek tropizmi ve multiorgan yetmezliği bu klinik tablolara zemin hazırlanmaktadır. Bu vaka raporunda, hipertansiyon (HT), diabetes mellitus (DM) ve geçirmiş tüberküloz anemnezi gibi komorbid durumları olan 69 yaşındaki bir bireyde, COVID-19 pnömonisi saptandı. Aynı anda şiddetli AKI vardı. Hipoksi, hipotansiyon ve anüri bulguları nedeniyle yoğun bakım ünitesinde (YBÜ) izlendi. Üç seans hemodiyaliz (HD) uygulandı. Hasta tedaviye cevap verdi ve böbrekleri tamamen iyileşti.
Anahtar Kelimeler
Kaynakça
- Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention (published online ahead of print February 24, 2020). JAMA. https://doi.org/10.1001/jama.2020.2648.
- US Renal Data System. https://www.usrds.org/Default.aspx Accessed March 3, 2020.
- Durvasula R, Wellington T, McNamara E, et al. COVID-19 and kidney failure in the acute care setting: our experience from seattle. Am J Kidney Dis. 2020; 76:4–6. https://doi.org/10.1053/j.ajkd.2020.04.001.
- Hirsch JS, Ng JH, Ross DW, et al. Acute kidney injury in patients hospitalized with COVID-19. Kidney Int. 2020; 98:209–18. https://doi.org/10.1016/j.kint.2020.05.006.
- Chen N., Zhou M., Dong X. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020; 395:507–513.
- Liu W.J., Zhao M., Liu K. T-cell immunity of SARS-CoV:implications for vaccine development against MERS-CoV. Antiviral Res. 2017; 137: 82–92.
- Pesanti E.L. Immunologic defects and vaccination in patients with chronic renal failure. Infect Dis Clin North Am. 2001; 15: 813–832.
- Pei G, Zhang Z, Peng J, et al. Renal involvement and early prognosis in patients with COVID-19 pneumonia. J Am Soc Nephrol. 2020; 31: 1157–65. https://doi.org/10.1681/ASN.2020030276.
- Xiao G, Hu H, Wu F, et al. Acute kidney injury in patients hospitalized with COVID-19 in Wuhan, China: a single-center retrospective observational study. medRxiv. (2020). https://doi.org/10.1101/2020.04.06.20055194. (Epub ahead of print).
- Cheng Y, Luo R, Wang K, et al. Kidney disease is associated with in-hospital death of patients with COVID-19. Kidney Int. 2020; 97: 829–38. https://doi.org/10.1016/j.kint.2020.03.005.
- Perico L, Benigni A, Remuzzi G. Should COVID-19 concern nephrologists? why and to what extent? the emerging impasse of angiotensin blockade. Nephron. 2020; 144: 213–21. https://doi.org/10.1159/000507305.
- McMichael TM, Currie DW, Clark S, et al. Epidemiology of COVID-19 in a long-term care facility in King County, Washington. N Engl J Med. 2020; 382: 2005–11. https://doi.org/10.1056/NEJMoa2005412.
- European Centre for Disease Prevention and Control Infection prevention and control for the care of patients with 2019-nCoV in healthcare settings. https://www.ecdc.europa.eu/en/publications-data/infection-prevention-and-control-care-patients-2019-ncov-healthcare-settings
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri, Sağlık Kurumları Yönetimi |
| Bölüm | Case Report |
| Yazarlar | |
| Yayımlanma Tarihi | 24 Aralık 2021 |
| Gönderilme Tarihi | 11 Mart 2021 |
| Kabul Tarihi | 24 Temmuz 2021 |
| Yayımlandığı Sayı | Yıl 2021 Cilt: 12 Sayı: 44 |
