Acute tubulointerstitial nephritis in 10-year-old boy following severe acute respiratory syndrome coronavirus 2 infection

The COVID-19 pandemic caused by coronavirus SARS-CoV-2 is currently a main public health problem worldwide. The clinical symptoms relate primarily to the respiratory system but may also involve multiple organs. The course of COVID-19 in children is usually mild, but in some cases may cause late comp...

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Main Authors: Aleksandra Sobieszczańska-Droździel, Adam Strzoda, Wojciech Sowiński
Format: Article
Language:English
Published: Termedia Publishing House 2021-12-01
Series:Pediatria Polska
Subjects:
Online Access:https://www.termedia.pl/Acute-tubulointerstitial-nephritis-in-10-year-old-boy-following-severe-acute-respiratory-syndrome-coronavirus-2-infection,127,45590,1,1.html
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author Aleksandra Sobieszczańska-Droździel
Adam Strzoda
Wojciech Sowiński
author_facet Aleksandra Sobieszczańska-Droździel
Adam Strzoda
Wojciech Sowiński
author_sort Aleksandra Sobieszczańska-Droździel
collection DOAJ
description The COVID-19 pandemic caused by coronavirus SARS-CoV-2 is currently a main public health problem worldwide. The clinical symptoms relate primarily to the respiratory system but may also involve multiple organs. The course of COVID-19 in children is usually mild, but in some cases may cause late complications, particularly the pediatric inflammatory multisystem syndrome (PIMS-TS). One of its symptoms may be acute kidney injury. We present a 10-year-old boy who developed nonspecific symptoms a few weeks after mild COVID-19, including weakness, weight loss, and polyuria. Clinical evaluation revealed acute renal failure secondary to acute tubulointerstitial nephritis (ATIN). Treatment with glucocorticoids resulted in rapid clinical and laboratory improvement. We hypothesize that the development of ATIN could be causally related to COVID-19 in an immune pathomechanism similar to PIMS-TS. The case provides new insights into possible complications of SARS-CoV-2 infection and indicates the need for renal follow-up after COVID-19.
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spelling doaj.art-b14686241d2748bd8bc6a0945e37e44d2024-04-10T12:45:38ZengTermedia Publishing HousePediatria Polska0031-39392300-86602021-12-0196428128410.5114/polp.2021.11055345590Acute tubulointerstitial nephritis in 10-year-old boy following severe acute respiratory syndrome coronavirus 2 infectionAleksandra Sobieszczańska-DroździelAdam StrzodaWojciech SowińskiThe COVID-19 pandemic caused by coronavirus SARS-CoV-2 is currently a main public health problem worldwide. The clinical symptoms relate primarily to the respiratory system but may also involve multiple organs. The course of COVID-19 in children is usually mild, but in some cases may cause late complications, particularly the pediatric inflammatory multisystem syndrome (PIMS-TS). One of its symptoms may be acute kidney injury. We present a 10-year-old boy who developed nonspecific symptoms a few weeks after mild COVID-19, including weakness, weight loss, and polyuria. Clinical evaluation revealed acute renal failure secondary to acute tubulointerstitial nephritis (ATIN). Treatment with glucocorticoids resulted in rapid clinical and laboratory improvement. We hypothesize that the development of ATIN could be causally related to COVID-19 in an immune pathomechanism similar to PIMS-TS. The case provides new insights into possible complications of SARS-CoV-2 infection and indicates the need for renal follow-up after COVID-19.https://www.termedia.pl/Acute-tubulointerstitial-nephritis-in-10-year-old-boy-following-severe-acute-respiratory-syndrome-coronavirus-2-infection,127,45590,1,1.htmlcovid-19 acute tubulointerstitial nephritis pims-ts.
spellingShingle Aleksandra Sobieszczańska-Droździel
Adam Strzoda
Wojciech Sowiński
Acute tubulointerstitial nephritis in 10-year-old boy following severe acute respiratory syndrome coronavirus 2 infection
Pediatria Polska
covid-19
acute tubulointerstitial nephritis
pims-ts.
title Acute tubulointerstitial nephritis in 10-year-old boy following severe acute respiratory syndrome coronavirus 2 infection
title_full Acute tubulointerstitial nephritis in 10-year-old boy following severe acute respiratory syndrome coronavirus 2 infection
title_fullStr Acute tubulointerstitial nephritis in 10-year-old boy following severe acute respiratory syndrome coronavirus 2 infection
title_full_unstemmed Acute tubulointerstitial nephritis in 10-year-old boy following severe acute respiratory syndrome coronavirus 2 infection
title_short Acute tubulointerstitial nephritis in 10-year-old boy following severe acute respiratory syndrome coronavirus 2 infection
title_sort acute tubulointerstitial nephritis in 10 year old boy following severe acute respiratory syndrome coronavirus 2 infection
topic covid-19
acute tubulointerstitial nephritis
pims-ts.
url https://www.termedia.pl/Acute-tubulointerstitial-nephritis-in-10-year-old-boy-following-severe-acute-respiratory-syndrome-coronavirus-2-infection,127,45590,1,1.html
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AT adamstrzoda acutetubulointerstitialnephritisin10yearoldboyfollowingsevereacuterespiratorysyndromecoronavirus2infection
AT wojciechsowinski acutetubulointerstitialnephritisin10yearoldboyfollowingsevereacuterespiratorysyndromecoronavirus2infection