case_report·critical care, nephrology, endocrinology, infectious disease, internal medicine·PMC10328694
Renal function impairment might be worsened by SARS-CoV-2 virus: a triple critical care disease causing hypoxemia
Annals of Medicine and Surgery · 1 author, 1 centre
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This is a case report of a 57-year-old male with pre-existing chronic kidney disease and type 2 diabetes who developed severe COVID-19 requiring ICU admission. The report suggests that his pre-existing renal impairment may have contributed to the severity of his kidney involvement during the COVID-19 infection.
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This paper is a case report describing a 57-year-old male with a history of chronic kidney disease and type 2 diabetes who presented with fever, shortness of breath, and edema, and was confirmed to have COVID-19. The patient was admitted to an ICU, received fluid resuscitation, insulin therapy, and thromboprophylaxis. After 15 days of hospitalization, he was discharged with improved renal and glucose parameters. The authors discuss that pre-existing chronic renal impairment and diabetes may have synergistically increased his risk for severe COVID-19 and prolonged hospital stay. The central finding is that prior chronic renal impairment may be a factor in the increased prevalence of kidney involvement seen in hospitalized COVID-19 patients.