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Improvement of COVID-19 with renal failure and paralytic ileus by using steroids
Atsushi Kitamura1, Clara So1, Torahiko Jinta1
1Department of Pulmonary Medicine Thoracic Center, St. Luke's International Hospital Tokyo Japan.
Abstract:
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.
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