Two episodes of acute dyspnea that were induced by COVID-19 in a peritoneal dialysis patient.
Naohiro TodaJun TakeokaKatsuya TanigakiHisako HirashimaMasaaki FujitaToshiyuki KomiyaPublished in: CEN case reports (2021)
Dialysis patients have an increased risk of coronavirus disease 2019 (COVID-19)-related mortality. Acute heart failure is a frequent, lethal complication of COVID-19, and it is a risk factor for mortality in hemodialysis patients. Therefore, it is crucial to rapidly distinguish heart failure from COVID-19 pneumonia. Here, we report a case of two episodes of acute dyspnea that were induced by COVID-19 in a peritoneal dialysis (PD) patient. The first episode of acute dyspnea was an exacerbation of heart failure caused by COVID-19 when the patient had a volume overload status due to a peritoneal dialysis catheter malfunction. Heart failure induced by a catheter malfunction was due to omental wrapping, and it was treated with ultrafiltration by hemodialysis and mini-laparotomy. The patient's acute dyspnea was immediately resolved. The second episode of acute dyspnea was caused by COVID-19 pneumonia, which occurred 1 week after the first episode. This case suggests the importance of identifying heart failure and beginning adequate treatment, in COVID-19 patients with PD.
Keyphrases
- coronavirus disease
- peritoneal dialysis
- end stage renal disease
- heart failure
- sars cov
- chronic kidney disease
- respiratory failure
- liver failure
- acute heart failure
- respiratory syndrome coronavirus
- case report
- left ventricular
- drug induced
- type diabetes
- atrial fibrillation
- chronic obstructive pulmonary disease
- randomized controlled trial
- hepatitis b virus
- clinical trial
- cardiovascular events
- palliative care
- intensive care unit
- mechanical ventilation
- risk factors
- ultrasound guided
- patient reported outcomes
- acute respiratory distress syndrome