Bilateral renal infarction in a patient with severe COVID-19 infection

Abstract 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...

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Main Authors: Percy Herrera Añazco, Fernando Mayor Balta, Liz Córdova-Cueva
Format: Article
Language:English
Published: Sociedade Brasileira de Nefrologia 2021-01-01
Series:Brazilian Journal of Nephrology
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002021000100127&tlng=pt
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author Percy Herrera Añazco
Fernando Mayor Balta
Liz Córdova-Cueva
author_facet Percy Herrera Añazco
Fernando Mayor Balta
Liz Córdova-Cueva
author_sort Percy Herrera Añazco
collection DOAJ
description Abstract 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.
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spelling doaj.art-bb3ca5ce2b974ac39dfab3eb082926bb2022-12-21T21:23:54ZengSociedade Brasileira de NefrologiaBrazilian Journal of Nephrology2175-82392021-01-0143112713110.1590/2175-8239-jbn-2020-0156Bilateral renal infarction in a patient with severe COVID-19 infectionPercy Herrera Añazcohttps://orcid.org/0000-0003-0282-6634Fernando Mayor Baltahttps://orcid.org/0000-0003-2263-1789Liz Córdova-Cuevahttps://orcid.org/0000-0001-9213-0192Abstract 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002021000100127&tlng=ptRenal InfarctionThromboembolismCoronavirus InfectionsSARS-CoV-2KidneyRenal Dialysis
spellingShingle Percy Herrera Añazco
Fernando Mayor Balta
Liz Córdova-Cueva
Bilateral renal infarction in a patient with severe COVID-19 infection
Brazilian Journal of Nephrology
Renal Infarction
Thromboembolism
Coronavirus Infections
SARS-CoV-2
Kidney
Renal Dialysis
title Bilateral renal infarction in a patient with severe COVID-19 infection
title_full Bilateral renal infarction in a patient with severe COVID-19 infection
title_fullStr Bilateral renal infarction in a patient with severe COVID-19 infection
title_full_unstemmed Bilateral renal infarction in a patient with severe COVID-19 infection
title_short Bilateral renal infarction in a patient with severe COVID-19 infection
title_sort bilateral renal infarction in a patient with severe covid 19 infection
topic Renal Infarction
Thromboembolism
Coronavirus Infections
SARS-CoV-2
Kidney
Renal Dialysis
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002021000100127&tlng=pt
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AT fernandomayorbalta bilateralrenalinfarctioninapatientwithseverecovid19infection
AT lizcordovacueva bilateralrenalinfarctioninapatientwithseverecovid19infection