TY - JOUR
T1 - Bilateral renal infarction in a patient with severe COVID-19 infection
AU - Añazco, Percy Herrera
AU - Balta, Fernando Mayor
AU - Córdova-Cueva, Liz
PY - 2021/1/1
Y1 - 2021/1/1
N2 - Thromboembolic events are frequent in patients with COVID-19 infection, and no cases of bilateral renal infarctions have been reported. We present the case of a 41-year-old female patient with diabetes mellitus and obesity who attended the emergency department for low back pain, respiratory failure associated with COVID-19 pneumonia, diabetic ketoacidosis, and shock. The patient had acute kidney injury and required hemodialysis. Contrast abdominal tomography showed bilateral renal infarction and anticoagulation was started. Kidney infarction cases require high diagnostic suspicion and possibility of starting anticoagulation.
AB - Thromboembolic events are frequent in patients with COVID-19 infection, and no cases of bilateral renal infarctions have been reported. We present the case of a 41-year-old female patient with diabetes mellitus and obesity who attended the emergency department for low back pain, respiratory failure associated with COVID-19 pneumonia, diabetic ketoacidosis, and shock. The patient had acute kidney injury and required hemodialysis. Contrast abdominal tomography showed bilateral renal infarction and anticoagulation was started. Kidney infarction cases require high diagnostic suspicion and possibility of starting anticoagulation.
KW - Acute Kidney Injury/complications
KW - Adult
KW - Antibodies, Viral/blood
KW - Anticoagulants/therapeutic use
KW - COVID-19/complications
KW - Diabetes Complications
KW - Fatal Outcome
KW - Female
KW - Humans
KW - Immunoglobulin M/blood
KW - Infarction/complications
KW - Kidney/blood supply
KW - Obesity/complications
KW - Renal Dialysis/methods
KW - Respiratory Insufficiency/complications
KW - SARS-CoV-2/immunology
KW - Severity of Illness Index
KW - Tomography, X-Ray Computed
UR - http://www.scopus.com/inward/record.url?scp=85105693768&partnerID=8YFLogxK
U2 - 10.1590/2175-8239-JBN-2020-0156
DO - 10.1590/2175-8239-JBN-2020-0156
M3 - Artículo
C2 - 33460428
AN - SCOPUS:85105693768
VL - 43
SP - 127
EP - 131
JO - Jornal brasileiro de nefrologia : orgão oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
JF - Jornal brasileiro de nefrologia : orgão oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
SN - 2175-8239
IS - 1
ER -