COVID-19 Infection in a Patient with End-Stage Kidney Disease

被引：35
|
作者：
Fu, Dian [1 ,2 ]
Yang, Bo [3 ]
Xu, Jing [4 ]
Mao, Zhiguo [4 ]
Zhou, Chenchen [5 ]
Xue, Cheng [4 ]
机构：
[1] Nanjing Univ, Nanjing Jinling Hosp, Sch Med, Dept Urol, Nanjing, Peoples R China
[2] Huoshenshan Hosp, Dept Infect Dis 4, Wuhan, Peoples R China
[3] Second Mil Med Univ, Naval Med Ctr PLA, Dept Nephrol, Shanghai, Peoples R China
[4] Second Mil Med Univ, Changzheng Hosp, Div Nephrol, Fengyang Rd 415, Shanghai 200003, Peoples R China
[5] Yangpu Third Mil Retreat, Outpatient Dept, Shanghai, Peoples R China
来源：
NEPHRON | 2020年 / 144卷 / 05期
关键词：
Coronavirus disease 2019; End-stage kidney disease; Dialysis; Continuous renal replacement therapy;
D O I：
10.1159/000507261
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
Since December 2019, the epidemic of coronavirus disease 2019 (COVID-19) has spread very rapidly in China and worldwide. In this article, we report on a 75-year-old man infected with 2019 novel coronavirus who has end-stage kidney disease (ESKD). COVID-19 patients with ESKD need isolation dialysis, but most of them cannot be handled in time due to limited continuous renal replacement therapy (CRRT) machines. CRRT provided benefits for this patient by removing potentially damaging toxins and stabilizing his metabolic and hemodynamic status. With the control of uremia and fluid status, this patient ended up with an uneventful post-CRRT course, absence of clinical symptoms, and negative PCR tests. Greater efforts are needed to decrease the mortality of COVID-19-infected ESKD patients.
引用
收藏
页码：245 / 247
页数：3
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