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SARS-CoV-2 infection associated acute kidney injury in patients with pre-existing chronic renal disease: A report of two cases.
Immun Inflamm Dis. 2020 12; 8(4):506-511.II

Abstract

BACKGROUND

The 2019 novel coronavirus (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2]) is driving a novel atypical pneumonia (coronavirus disease 2019 [COVID-19]) outbreak in Wuhan, causing huge public health challenges both in China and globally. Limited data are available for information and prognosis on COVID-19 patients with pre-existing chronic kidney disease.

CASE PRESENTATION

Here we described the clinical characteristics and outcomes from two patients-a female aged 40-year-old and an 83-year-old male-who were subjected to SARS-CoV-2 infection, with history of chronic renal insufficiency. The female was admitted for dry cough and shortness of breath and the male was admitted for fever. The thorax computed tomography revealed patchy consolidation and ground-glass opacity in both scattered lobes and the throat swab sample for coronavirus nucleic acid was positive. They were diagnosed with COVID-19 and their renal function became progressively worse after infection with COVID-19. After symptomatic support treatment, in both the patients, renal function was obviously restored, and both recovered from this pneumonia and conformed to the discharge criteria.

CONCLUSION

SARS-CoV-2 infection may aggravate renal function impairment. It is crucial to monitor changes of renal function in patients with COVID-19, especially those with primary kidney disease. Kidney protection interventions should be taken as early as possible, thereby improving the prognosis of patients with COVID-19.

Authors+Show Affiliations

Department of Nephrology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.Department of Nephrology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Department of Health Management Centre, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.Department of Nephrology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

32725744

Citation

Wang, Yiru, et al. "SARS-CoV-2 Infection Associated Acute Kidney Injury in Patients With Pre-existing Chronic Renal Disease: a Report of Two Cases." Immunity, Inflammation and Disease, vol. 8, no. 4, 2020, pp. 506-511.
Wang Y, Lv Y, Liu Q. SARS-CoV-2 infection associated acute kidney injury in patients with pre-existing chronic renal disease: A report of two cases. Immun Inflamm Dis. 2020;8(4):506-511.
Wang, Y., Lv, Y., & Liu, Q. (2020). SARS-CoV-2 infection associated acute kidney injury in patients with pre-existing chronic renal disease: A report of two cases. Immunity, Inflammation and Disease, 8(4), 506-511. https://doi.org/10.1002/iid3.333
Wang Y, Lv Y, Liu Q. SARS-CoV-2 Infection Associated Acute Kidney Injury in Patients With Pre-existing Chronic Renal Disease: a Report of Two Cases. Immun Inflamm Dis. 2020;8(4):506-511. PubMed PMID: 32725744.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - SARS-CoV-2 infection associated acute kidney injury in patients with pre-existing chronic renal disease: A report of two cases. AU - Wang,Yiru, AU - Lv,Yongman, AU - Liu,Qingquan, Y1 - 2020/07/28/ PY - 2020/07/02/received PY - 2020/07/20/accepted PY - 2020/7/30/pubmed PY - 2020/11/25/medline PY - 2020/7/30/entrez KW - COVID-19 KW - SARS-CoV-2 KW - acute kidney injury KW - chronic renal disease KW - coronavirus SP - 506 EP - 511 JF - Immunity, inflammation and disease JO - Immun Inflamm Dis VL - 8 IS - 4 N2 - BACKGROUND: The 2019 novel coronavirus (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2]) is driving a novel atypical pneumonia (coronavirus disease 2019 [COVID-19]) outbreak in Wuhan, causing huge public health challenges both in China and globally. Limited data are available for information and prognosis on COVID-19 patients with pre-existing chronic kidney disease. CASE PRESENTATION: Here we described the clinical characteristics and outcomes from two patients-a female aged 40-year-old and an 83-year-old male-who were subjected to SARS-CoV-2 infection, with history of chronic renal insufficiency. The female was admitted for dry cough and shortness of breath and the male was admitted for fever. The thorax computed tomography revealed patchy consolidation and ground-glass opacity in both scattered lobes and the throat swab sample for coronavirus nucleic acid was positive. They were diagnosed with COVID-19 and their renal function became progressively worse after infection with COVID-19. After symptomatic support treatment, in both the patients, renal function was obviously restored, and both recovered from this pneumonia and conformed to the discharge criteria. CONCLUSION: SARS-CoV-2 infection may aggravate renal function impairment. It is crucial to monitor changes of renal function in patients with COVID-19, especially those with primary kidney disease. Kidney protection interventions should be taken as early as possible, thereby improving the prognosis of patients with COVID-19. SN - 2050-4527 UR - https://www.unboundmedicine.com/medline/citation/32725744/SARS_CoV_2_infection_associated_acute_kidney_injury_in_patients_with_pre_existing_chronic_renal_disease:_A_report_of_two_cases_ L2 - https://doi.org/10.1002/iid3.333 DB - PRIME DP - Unbound Medicine ER -