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A Large Animal Model for Acute Kidney Injury by Temporary Bilateral Renal Artery Occlusion
Published on: February 2, 2021
Coronavirus Disease 2019 Infection Presenting with Renal Infarction: A Rare Case Report
Suman Sethi1, Sudhir Mehta1, Rajesh Mahajan2
1Department of Nephrology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
Insights
This case report highlights a rare instance of renal infarction, a serious kidney complication, in a patient with coronavirus disease 2019 (COVID-19). The findings emphasize the diverse and severe vascular complications associated with this viral infection.
Area of Science:
- Nephrology
- Infectious Diseases
- Vascular Medicine
Background:
- Coronavirus disease 2019 (COVID-19) is a global pandemic with significant systemic effects.
- Kidney involvement, including acute kidney injury, is common in COVID-19 patients, particularly the critically ill.
- While hypercoagulable states and thromboembolic events are known complications, renal infarction is an infrequent manifestation.
Observation:
- A patient presented with COVID-19 pneumonia and acute kidney injury.
- During further evaluation for gastrointestinal symptoms, computed tomography angiography revealed renal infarction.
- This case underscores a rare vascular complication of COVID-19 infection.
Findings:
- COVID-19 infection can lead to rare but severe vascular complications such as renal infarction.
- The mechanisms may involve direct viral effects, cytokine storm, or hemodynamic changes contributing to thrombosis.
- Early detection of renal infarction is crucial in patients with COVID-19 presenting with kidney injury.
Implications:
- Clinicians should consider renal infarction in the differential diagnosis of kidney injury in COVID-19 patients.
- This case expands the understanding of COVID-19's potential to cause diverse thromboembolic events.
- Further research is needed to elucidate the precise mechanisms and optimal management strategies for COVID-19-associated renal infarction.
Abstract:
After its discovery in Wuhan, China, in December 2019, coronavirus disease 2019 (COVID-19) has now become a pandemic in a short period. The kidney involvement is frequently reported, especially in critically ill hospitalized patients. Multiple mechanisms have been proposed for this damage range from direct invasion, cytokine storm, and hemodynamic derangements. Although COVID-19 has been described to have association with hypercoagulable state and thromboembolic events in major blood vessels, renal infarction due to COVID-19 infection is a rare occurrence. We here report a rare case of renal infarction due to COVID-19 infection. This patient initially presented with COVID pneumonia with acute kidney injury. Later on during evaluation of his gastrointestinal complaints, he was detected to have renal infarction by computed tomography angiography.
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