Case Report
Volume: 5 | Issue: 1 | Published: Jan 28, 2021 | Pages: 26 - 30 | DOI: 10.24911/ejmcr/173-1605961968
Full recovery of a patient with COVID-19-induced acute kidney injury
Authors: Neama Ahmed Abdelaziz , Sherief Ghozy , Alzhraa Salah Abbas , Abdullah Reda , Amr Ehab El-Qushayri , Sheikh Mohammed Shariful Islam
Article Info
Authors
Neama Ahmed Abdelaziz
Mallawi Specialized (Quarantine) Hospital, Minia, Egypt
Sherief Ghozy
Faculty of Medicine, Minia University, Minia, Egypt
Alzhraa Salah Abbas
Faculty of Medicine, Mansoura University, Mansoura, Egypt
Abdullah Reda
Faculty of Medicine, Al-Azhar University, Cairo, Egypt
Amr Ehab El-Qushayri
Faculty of Medicine, Minia University, Minia, Egypt
Sheikh Mohammed Shariful Islam
Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Australia
Publication History
Received: November 21, 2020
Accepted:
Published: January 28, 2021
Abstract
Background: In this report, we discuss the diagnosis and management of a case of COVID-19-induced acute kidney injury (AKI). Case Presentation: A 58-year-old male with PCR-based COVID-19 diagnosis (at a specialized hospital, Minia, Egypt) was admitted and received supportive medications along with corticosteroids and hydroxychloroquine. After 2 days, the patient developed tachypnoea and desaturation. Therefore, he was transferred to the intensive care unit with a continuous positive airway pressure. On the third day, he developed oliguria with spiking kidney function tests, metabolic acidosis, and eventually anuria on the 6th day. AKI diagnosis was established, and the patient received daily dialysis sessions for 10 days until discharge together with tocilizumab and methylprednisolone. The patient was discharged after normalization and stabilization of his clinical parameters and a second negative PCR swab with continuous follow-up. Conclusion: Early monitoring of kidney function tests during the infection might help in preventing further kidney damage.
Keywords: Coronavirus, infection, COVID-19, kidney, renal failure, green
