Cureus . Acute Renal Failure in a Patient With Severe Acute Respiratory Syndrome Coronavirus 2

[tetano]

Cureus


. 2021 Feb 17;13(2):e13406.
doi: 10.7759/cureus.13406.
Acute Renal Failure in a Patient With Severe Acute Respiratory Syndrome Coronavirus 2


Sarah Ayad ¹ , Sherif Elkattawy ¹ , Chidinma Ejikeme ² , Abraheim Al-Nasseri ³ , Aravinda Reddy ⁴



Affiliations

• PMID: 33767927
• PMCID: PMC7983180
• DOI: 10.7759/cureus.13406

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a highly infectious viral pathogen with high morbidity and mortality rate. The infection affects multiple organ systems leading to systemic organ failure. There is an increased incidence of acute kidney injury (AKI) in patients who become critically ill. In the critical care setting, the incidence of AKI has been variable amongst different studies. Patients with acute kidney injury who progress to renal replacement therapy are associated with worse outcomes. We describe a case of a 42-year-old male who presented with hypoxemic respiratory failure secondary to SARS-CoV-2 associated pneumonia. The patient was initially managed with the nasal cannula and then required high flow nasal cannula with worsening hypoxemic respiratory failure, requiring invasive mechanical ventilation. On top of worsening respiratory status, the patient developed new onset renal failure requiring hemodialysis.

Keywords: aki; covid; dialysis.