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Published on: May 9, 2025
Eculizumab treatment for renal failure in a pediatric patient with COVID-19
Ruchi Mahajan1, Marissa Lipton1, Larisa Broglie2
1Division of Pediatric Nephrology, Columbia University Vagelos College of Physicians and Surgeons, 622 West 168th Street, PH 17-102B, New York, NY, 10032, USA.
Insights
COVID-19 can cause kidney failure in children through thrombotic microangiopathy. A pediatric case of COVID-19 with renal failure was successfully treated with eculizumab, highlighting a potential therapeutic approach.
Area of Science:
- Pediatric Nephrology
- Infectious Diseases
- Critical Care Medicine
Background:
- Acute kidney injury (AKI) is reported in adult COVID-19 patients, but data on pediatric renal complications remain scarce.
- COVID-19-related kidney injury is multifactorial, involving complement dysregulation and thrombotic microangiopathy.
- Thrombotic microangiopathy (TMA) is a serious condition characterized by microangiopathic hemolytic anemia, thrombocytopenia, and organ damage.
Abstract:
While there are increasing reports of acute kidney injury among hospitalized adults with COVID-19, there is still limited information on renal complications associated with COVID-19 in children. The cause of kidney involvement in COVID-19 is likely multifactorial, and appears to involve a complex process, including complement dysregulation and thrombotic microangiopathy. We present a pediatric case of COVID-19 and renal failure due to thombotic microangiopathy, successfully treated with eculizumab.
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