Atypical Presentation of Novel Coronavirus Disease 2019 in a Peritoneal Dialysis Patient

Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is a rapidly spreading disease causing increased morbidity and mortality across the globe. There is limited available knowledge regarding the natural history of the SARS-CoV-2 infection. Othe...

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Main Authors: Subhasish Bose MD, FASN, Sreedhar Adapa MD, FASN, Venu Madhav Konala MD, FACP, Hemapriya Gopalreddy MD, Salim Sohail MD, FASN, Srikanth Naramala MD, FACR, Hema Kondakindi MD, Vijayadershan Muppidi MBBS, FACP, Manoj V. Ramachandran MD, Peter J. Juran MD, Narothama Reddy Aeddula MD, FASN
Format: Article
Language:English
Published: SAGE Publishing 2020-06-01
Series:Journal of Investigative Medicine High Impact Case Reports
Online Access:https://doi.org/10.1177/2324709620931238
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author Subhasish Bose MD, FASN
Sreedhar Adapa MD, FASN
Venu Madhav Konala MD, FACP
Hemapriya Gopalreddy MD
Salim Sohail MD, FASN
Srikanth Naramala MD, FACR
Hema Kondakindi MD
Vijayadershan Muppidi MBBS, FACP
Manoj V. Ramachandran MD
Peter J. Juran MD
Narothama Reddy Aeddula MD, FASN
author_facet Subhasish Bose MD, FASN
Sreedhar Adapa MD, FASN
Venu Madhav Konala MD, FACP
Hemapriya Gopalreddy MD
Salim Sohail MD, FASN
Srikanth Naramala MD, FACR
Hema Kondakindi MD
Vijayadershan Muppidi MBBS, FACP
Manoj V. Ramachandran MD
Peter J. Juran MD
Narothama Reddy Aeddula MD, FASN
author_sort Subhasish Bose MD, FASN
collection DOAJ
description Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is a rapidly spreading disease causing increased morbidity and mortality across the globe. There is limited available knowledge regarding the natural history of the SARS-CoV-2 infection. Other factors that are also making this infection spread like a pandemic include global travelers, lack of proven treatment, asymptomatic carriers, potential reinfection, underprepared global health care systems, and lack of public awareness and efforts to prevent further spread. It is understood that certain preexisting medical conditions increase the risk of mortality with COVID-19; however, the outcome of this disease in traditionally vulnerable chronic illnesses such as end-stage renal disease is not well documented. We present a case of a 56-year-old African American lady with end-stage renal disease on the peritoneal dialysis who presented predominantly with nausea, vomiting, and subsequently found to have COVID-19. We use this case to illustrate an atypical presentation of the COVID-19 in a vulnerable patient and discuss the literature.
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spelling doaj.art-655949aa31bd44feac702c2c94d1a5eb2022-12-22T00:08:03ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962020-06-01810.1177/2324709620931238Atypical Presentation of Novel Coronavirus Disease 2019 in a Peritoneal Dialysis PatientSubhasish Bose MD, FASN0Sreedhar Adapa MD, FASN1Venu Madhav Konala MD, FACP2Hemapriya Gopalreddy MD3Salim Sohail MD, FASN4Srikanth Naramala MD, FACR5Hema Kondakindi MD6Vijayadershan Muppidi MBBS, FACP7Manoj V. Ramachandran MD8Peter J. Juran MD9Narothama Reddy Aeddula MD, FASN10Lynchburg Nephrology Physicians, Lynchburg, VA, USAAdventist Medical Center, Hanford, CA, USAAshland Bellefonte Cancer Center, Ashland, KY, USADeaconess Health System Inc, Evansville, IN, USAUniversity of Mississippi Medical Center, Jackson, MS, USAAdventist Medical Center, Hanford, CA, USASwedish Covenant Hospital, Chicago, IL, USAIU Health Ball Memorial Hospital, Muncie, IN, USAThe Ohio State University Wexner Medical Center, Columbus, OH, USADeaconess Health System Inc, Evansville, IN, USAIndiana University, Evansville, IN, USACoronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is a rapidly spreading disease causing increased morbidity and mortality across the globe. There is limited available knowledge regarding the natural history of the SARS-CoV-2 infection. Other factors that are also making this infection spread like a pandemic include global travelers, lack of proven treatment, asymptomatic carriers, potential reinfection, underprepared global health care systems, and lack of public awareness and efforts to prevent further spread. It is understood that certain preexisting medical conditions increase the risk of mortality with COVID-19; however, the outcome of this disease in traditionally vulnerable chronic illnesses such as end-stage renal disease is not well documented. We present a case of a 56-year-old African American lady with end-stage renal disease on the peritoneal dialysis who presented predominantly with nausea, vomiting, and subsequently found to have COVID-19. We use this case to illustrate an atypical presentation of the COVID-19 in a vulnerable patient and discuss the literature.https://doi.org/10.1177/2324709620931238
spellingShingle Subhasish Bose MD, FASN
Sreedhar Adapa MD, FASN
Venu Madhav Konala MD, FACP
Hemapriya Gopalreddy MD
Salim Sohail MD, FASN
Srikanth Naramala MD, FACR
Hema Kondakindi MD
Vijayadershan Muppidi MBBS, FACP
Manoj V. Ramachandran MD
Peter J. Juran MD
Narothama Reddy Aeddula MD, FASN
Atypical Presentation of Novel Coronavirus Disease 2019 in a Peritoneal Dialysis Patient
Journal of Investigative Medicine High Impact Case Reports
title Atypical Presentation of Novel Coronavirus Disease 2019 in a Peritoneal Dialysis Patient
title_full Atypical Presentation of Novel Coronavirus Disease 2019 in a Peritoneal Dialysis Patient
title_fullStr Atypical Presentation of Novel Coronavirus Disease 2019 in a Peritoneal Dialysis Patient
title_full_unstemmed Atypical Presentation of Novel Coronavirus Disease 2019 in a Peritoneal Dialysis Patient
title_short Atypical Presentation of Novel Coronavirus Disease 2019 in a Peritoneal Dialysis Patient
title_sort atypical presentation of novel coronavirus disease 2019 in a peritoneal dialysis patient
url https://doi.org/10.1177/2324709620931238
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