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Coronavirus disease 2019 (COVID-19) pneumonia in a hemodialysis patient: A case report.
Medicine (Baltimore). 2020 Jul 02; 99(27):e20956.M

Abstract

RATIONALE

The 2019 novel coronavirus disease (COVID-19) causes a novel, atypical pneumonia that has brought huge public health challenges across the globe. There is limited data about patients with end-stage renal disease who also suffer from COVID-19. In this report, we discuss the case of a hemodialysis patient who developed COVID-19 pneumonia in the clinical course.

PATIENT CONCERNS

A 79-year-old man who had end-stage renal disease (ESRD) and was taking regular hemodialysis was admitted to hospital for a fever and dry cough. The patient, who also had cardiovascular disease, had no history of contact with COVID-2019 patients.

DIAGNOSIS

The patient was diagnosed with COVID-2019 by the reverse-transcriptase polymerase chain reaction (RT-PCR), and his pharyngeal swab for SARS-CoV-2 was positive.

INTERVENTION

The treatment was mainly supportive and the patient was intensively monitored. He was treated with oxygen, broad-spectrum antibiotics, antiviral drugs, and methylprednisolone. The patient took continuous renal replacement therapy (CRRT) every 2 days.

OUTCOMES

After 19 days, an RT-PCR assay for SARS-CoV-2 was negative, and computed tomography (CT) of the patient's thorax indicated that the pulmonary inflammatory exudation was absorbed and pulmonary infection improved significantly. He was discharged on day 29 after recovering from COVID-2019 pneumonia.

LESSONS

The courses of disease and treatment options for this individual were significantly more complicated than those for ordinary patients. Therefore, it was necessary to monitor the condition of the patient closely and to protect the dialysis unit staff from being infected. Compared with other severe COVID-2019 cases, this patient recovered more quickly following treatment, which was likely due to the removal of inflammatory mediators by CRRT. This implies that blood purification might be an important option for hemodialysis patients with COVID-19.

Authors+Show Affiliations

Department of Anesthesiology, Hanyang Branch, Wuhan Hospital of Traditional Chinese Medicine.Department of Nephrology.Department of Nephrology.Department of Nephrology. Department of Health Management Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.Department of Nephrology.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

32629703

Citation

Huang, Luyan, et al. "Coronavirus Disease 2019 (COVID-19) Pneumonia in a Hemodialysis Patient: a Case Report." Medicine, vol. 99, no. 27, 2020, pp. e20956.
Huang L, Wang Y, Wang L, et al. Coronavirus disease 2019 (COVID-19) pneumonia in a hemodialysis patient: A case report. Medicine (Baltimore). 2020;99(27):e20956.
Huang, L., Wang, Y., Wang, L., Lv, Y., & Liu, Q. (2020). Coronavirus disease 2019 (COVID-19) pneumonia in a hemodialysis patient: A case report. Medicine, 99(27), e20956. https://doi.org/10.1097/MD.0000000000020956
Huang L, et al. Coronavirus Disease 2019 (COVID-19) Pneumonia in a Hemodialysis Patient: a Case Report. Medicine (Baltimore). 2020 Jul 2;99(27):e20956. PubMed PMID: 32629703.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Coronavirus disease 2019 (COVID-19) pneumonia in a hemodialysis patient: A case report. AU - Huang,Luyan, AU - Wang,Yiru, AU - Wang,Lisheng, AU - Lv,Yongman, AU - Liu,Qingquan, PY - 2020/7/8/entrez PY - 2020/7/8/pubmed PY - 2020/7/14/medline SP - e20956 EP - e20956 JF - Medicine JO - Medicine (Baltimore) VL - 99 IS - 27 N2 - RATIONALE: The 2019 novel coronavirus disease (COVID-19) causes a novel, atypical pneumonia that has brought huge public health challenges across the globe. There is limited data about patients with end-stage renal disease who also suffer from COVID-19. In this report, we discuss the case of a hemodialysis patient who developed COVID-19 pneumonia in the clinical course. PATIENT CONCERNS: A 79-year-old man who had end-stage renal disease (ESRD) and was taking regular hemodialysis was admitted to hospital for a fever and dry cough. The patient, who also had cardiovascular disease, had no history of contact with COVID-2019 patients. DIAGNOSIS: The patient was diagnosed with COVID-2019 by the reverse-transcriptase polymerase chain reaction (RT-PCR), and his pharyngeal swab for SARS-CoV-2 was positive. INTERVENTION: The treatment was mainly supportive and the patient was intensively monitored. He was treated with oxygen, broad-spectrum antibiotics, antiviral drugs, and methylprednisolone. The patient took continuous renal replacement therapy (CRRT) every 2 days. OUTCOMES: After 19 days, an RT-PCR assay for SARS-CoV-2 was negative, and computed tomography (CT) of the patient's thorax indicated that the pulmonary inflammatory exudation was absorbed and pulmonary infection improved significantly. He was discharged on day 29 after recovering from COVID-2019 pneumonia. LESSONS: The courses of disease and treatment options for this individual were significantly more complicated than those for ordinary patients. Therefore, it was necessary to monitor the condition of the patient closely and to protect the dialysis unit staff from being infected. Compared with other severe COVID-2019 cases, this patient recovered more quickly following treatment, which was likely due to the removal of inflammatory mediators by CRRT. This implies that blood purification might be an important option for hemodialysis patients with COVID-19. SN - 1536-5964 UR - https://www.unboundmedicine.com/medline/citation/32629703/Coronavirus_disease_2019__COVID_19__pneumonia_in_a_hemodialysis_patient:_A_case_report_ L2 - https://doi.org/10.1097/MD.0000000000020956 DB - PRIME DP - Unbound Medicine ER -