What did we learn about coronavirus disease-19-associated acute kidney injury during the pandemic?

Initial reports suggested that kidney involvement after coronavirus disease 19 (COVID-19) infection was uncommon, but this premise appears to be incorrect. Acute kidney injury can occur through various mechanisms and complicate the course of up to 25% of patients with COVID-19 hospitalized in our In...

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Main Authors: Noemí Del Toro-Cisneros, Adrián E. Caballero-Islas, Juan C. Ramírez-Sandoval, Juan M. Mejía-Vilet, Mauricio Arvizu-Hernández, Gustavo Casas-Aparicio, Jonathan Chávez-Iñiguez, Lilia M. Rizo-Topete, Olynka Vega-Vega
Format: Article
Language:English
Published: Permanyer 2022-01-01
Series:Revista de Investigación Clínica
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Online Access:https://www.clinicalandtranslationalinvestigation.com/frame_esp.php?id=442
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author Noemí Del Toro-Cisneros
Adrián E. Caballero-Islas
Juan C. Ramírez-Sandoval
Juan M. Mejía-Vilet
Mauricio Arvizu-Hernández
Gustavo Casas-Aparicio
Jonathan Chávez-Iñiguez
Lilia M. Rizo-Topete
Olynka Vega-Vega
author_facet Noemí Del Toro-Cisneros
Adrián E. Caballero-Islas
Juan C. Ramírez-Sandoval
Juan M. Mejía-Vilet
Mauricio Arvizu-Hernández
Gustavo Casas-Aparicio
Jonathan Chávez-Iñiguez
Lilia M. Rizo-Topete
Olynka Vega-Vega
author_sort Noemí Del Toro-Cisneros
collection DOAJ
description Initial reports suggested that kidney involvement after coronavirus disease 19 (COVID-19) infection was uncommon, but this premise appears to be incorrect. Acute kidney injury can occur through various mechanisms and complicate the course of up to 25% of patients with COVID-19 hospitalized in our Institution, and of over 50% of those on invasive mechanical ventilation. Mechanisms of injury include direct kidney injury and predominantly tubular, although glomerular injury has been reported, and resulting from severe hypoxic respiratory failure, secondary infection, and exposure to nephrotoxic drugs. The mainstay of treatment remains the prevention of progressive kidney damage and, in some cases, the use of renal replacement therapy. Although the use of blood purification techniques has been proposed as a potential treatment, results to date have not been conclusive. In this manuscript, the mechanisms of kidney injury by COVID-19, risk factors, and the mainstays of treatment are reviewed.
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spelling doaj.art-faf0fdfd5ba44bb298b17b57c7afae042022-12-22T13:59:01ZengPermanyerRevista de Investigación Clínica0034-83762564-88962022-01-0174610.24875/RIC.22000146What did we learn about coronavirus disease-19-associated acute kidney injury during the pandemic?Noemí Del Toro-Cisneros0Adrián E. Caballero-Islas1Juan C. Ramírez-Sandoval2Juan M. Mejía-Vilet3Mauricio Arvizu-Hernández4Gustavo Casas-Aparicio5Jonathan Chávez-Iñiguez6Lilia M. Rizo-Topete7Olynka Vega-Vega8Department of Nephrology and Mineral Metabolism, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, MexicoDepartment of Nephrology and Mineral Metabolism, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, MexicoDepartment of Nephrology and Mineral Metabolism, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, MexicoDepartment of Nephrology and Mineral Metabolism, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, MexicoDepartment of Nephrology and Mineral Metabolism, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, MexicoResearch Center for Infectious Diseases, Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Mexico City, MexicoNephrology Service, Hospital Civil de Guadalajara Fray Antonio Alcalde, University of Guadalajara Health Sciences Center, Guadalajara, Jal., MexicoDivision of Nephrology, Hospital Universitario José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, NL., MexicoDepartment of Nephrology and Mineral Metabolism, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, MexicoInitial reports suggested that kidney involvement after coronavirus disease 19 (COVID-19) infection was uncommon, but this premise appears to be incorrect. Acute kidney injury can occur through various mechanisms and complicate the course of up to 25% of patients with COVID-19 hospitalized in our Institution, and of over 50% of those on invasive mechanical ventilation. Mechanisms of injury include direct kidney injury and predominantly tubular, although glomerular injury has been reported, and resulting from severe hypoxic respiratory failure, secondary infection, and exposure to nephrotoxic drugs. The mainstay of treatment remains the prevention of progressive kidney damage and, in some cases, the use of renal replacement therapy. Although the use of blood purification techniques has been proposed as a potential treatment, results to date have not been conclusive. In this manuscript, the mechanisms of kidney injury by COVID-19, risk factors, and the mainstays of treatment are reviewed. https://www.clinicalandtranslationalinvestigation.com/frame_esp.php?id=442Acute kidney injury. Coronavirus disease 19. Renal replacement therapy. Blood purification techniques. Cytokines.
spellingShingle Noemí Del Toro-Cisneros
Adrián E. Caballero-Islas
Juan C. Ramírez-Sandoval
Juan M. Mejía-Vilet
Mauricio Arvizu-Hernández
Gustavo Casas-Aparicio
Jonathan Chávez-Iñiguez
Lilia M. Rizo-Topete
Olynka Vega-Vega
What did we learn about coronavirus disease-19-associated acute kidney injury during the pandemic?
Revista de Investigación Clínica
Acute kidney injury. Coronavirus disease 19. Renal replacement therapy. Blood purification techniques. Cytokines.
title What did we learn about coronavirus disease-19-associated acute kidney injury during the pandemic?
title_full What did we learn about coronavirus disease-19-associated acute kidney injury during the pandemic?
title_fullStr What did we learn about coronavirus disease-19-associated acute kidney injury during the pandemic?
title_full_unstemmed What did we learn about coronavirus disease-19-associated acute kidney injury during the pandemic?
title_short What did we learn about coronavirus disease-19-associated acute kidney injury during the pandemic?
title_sort what did we learn about coronavirus disease 19 associated acute kidney injury during the pandemic
topic Acute kidney injury. Coronavirus disease 19. Renal replacement therapy. Blood purification techniques. Cytokines.
url https://www.clinicalandtranslationalinvestigation.com/frame_esp.php?id=442
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