Improvement of COVID-19 with renal failure and paralytic ileus by using steroids.
Atsushi KitamuraClara SoTorahiko JintaPublished in: Respirology case reports (2020)
A 51-year-old man attended our hospital with chief complaints of fever and diarrhoea for the past eight days. Chest computed tomography showed peripherally dominant ground-glass opacity. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA was detected by real-time polymerase chain reaction, and the patient was diagnosed with coronavirus disease (COVID-19). His clinical course included respiratory failure, acute kidney injury, and paralytic ileus. Systemic management was difficult, but he recovered with high-dose steroids, temporary haemodialysis therapy, and a nasointestinal tube, without antiviral drugs. COVID-19 can be associated with multiple organ failure due to vascular endothelial injury.
Keyphrases
- respiratory syndrome coronavirus
- coronavirus disease
- sars cov
- acute kidney injury
- respiratory failure
- computed tomography
- high dose
- extracorporeal membrane oxygenation
- cardiac surgery
- magnetic resonance imaging
- positron emission tomography
- intensive care unit
- adverse drug
- contrast enhanced
- acute respiratory distress syndrome
- drug induced
- irritable bowel syndrome