Respirol Case Rep . Improvement of COVID-19 with renal failure and paralytic ileus by using steroids

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Respirol Case Rep


. 2020 Nov 29;9(1):e00689.
doi: 10.1002/rcr2.689. eCollection 2021 Jan.
Improvement of COVID-19 with renal failure and paralytic ileus by using steroids


Atsushi Kitamura ¹ , Clara So ¹ , Torahiko Jinta ¹



Affiliations

• PMID: 33282314
• PMCID: PMC7700917
• DOI: 10.1002/rcr2.689

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.

Keywords: Acute kidney injury; COVID‐19; paralytic ileus.