https://www.scielo.br/j/jbn/a/XCDXYHCGzjjG8sWsb8KGB3R/ / Infarto renal bilateral em paciente com infecção grave por COVID-19
J. bras. nefrol
;
43(1): 128-132, Jan.-Mar. 2021. tab, graf
Article
in English, Portuguese
| LILACS
| ID: biblio-1154655
ABSTRACT
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.
RESUMO
Resumo Fenômenos tromboembólicos são frequentes em pacientes com infecção por COVID-19 e nenhum caso de infarto renal bilateral havia sido relatado. Apresentamos o caso de uma paciente do sexo feminino, de 41 anos, com diabetes mellitus e obesidade, que deu entrada no serviço de urgência por lombalgia, insuficiência respiratória associada à pneumonia COVID-19, cetoacidose diabética e choque. A paciente apresentava lesão renal aguda e demandava hemodiálise. A tomografia abdominal contrastada mostrou infarto renal bilateral e foi iniciada anticoagulação. Os casos de infarto renal requerem alta suspeita diagnóstica e possibilidade de iniciar a anticoagulação.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Diabetes Complications
/
Acute Kidney Injury
/
COVID-19
/
Infarction
/
Kidney
/
Obesity
Limits:
Adult
/
Female
/
Humans
Language:
English
/
Portuguese
Journal:
J. bras. nefrol
Journal subject:
Nephrology
Year:
2021
Type:
Article
Affiliation country:
Peru
Institution/Affiliation country:
Hospital Nacional 2 de mayo/PE
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