Bilateral renal infarction in a patient with severe COVID-19 infection.
Percy Herrera AñazcoFernando Mayor BaltaLiz Córdova-CuevaPublished in: Jornal brasileiro de nefrologia : 'orgao oficial de Sociedades Brasileira e Latino-Americana de Nefrologia (2021)
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.
Keyphrases
- case report
- emergency department
- respiratory failure
- acute kidney injury
- atrial fibrillation
- type diabetes
- metabolic syndrome
- coronavirus disease
- venous thromboembolism
- sars cov
- insulin resistance
- magnetic resonance
- extracorporeal membrane oxygenation
- computed tomography
- weight loss
- magnetic resonance imaging
- peritoneal dialysis
- body mass index
- skeletal muscle
- electronic health record