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COVID-19 Infection in a Patient with End-Stage Kidney Disease

Dian Fu1,2, Bo Yang3, Jing Xu4

  • 1Department of Urology, Nanjing Jinling Hospital, Nanjing University School of Medicine, Nanjing, China.

Nephron
|March 31, 2020
PubMed

Insights

COVID-19 patients with end-stage kidney disease (ESKD) require isolation dialysis. Continuous renal replacement therapy (CRRT) benefited one such patient by stabilizing his condition and aiding recovery.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • The COVID-19 pandemic poses significant risks to patients with end-stage kidney disease (ESKD).
  • ESKD patients with COVID-19 often require specialized renal replacement therapy, such as continuous renal replacement therapy (CRRT).
  • Limited availability of CRRT machines presents a challenge in managing these critical patients.

Observation:

  • A case study of a 75-year-old male with ESKD and COVID-19 infection is presented.
  • The patient required isolation dialysis due to his comorbidities.
  • Continuous renal replacement therapy (CRRT) was initiated for this patient.

Findings:

  • CRRT effectively removed toxins, stabilizing the patient's metabolic and hemodynamic status.
  • Management of uremia and fluid balance was achieved through CRRT.
  • The patient experienced an uneventful recovery, with symptom resolution and negative PCR tests post-CRRT.

Implications:

  • CRRT can be a beneficial intervention for COVID-19 patients with ESKD.
  • Addressing the limited availability of CRRT machines is crucial for improving outcomes.
  • Further efforts are needed to reduce mortality rates in this vulnerable patient population.

Keywords:
Continuous renal replacement therapyCoronavirus disease 2019DialysisEnd-stage kidney disease

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