CASE REPORT |
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Year : 2022 | Volume
: 13
| Issue : 1 | Page : 19 |
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Renal involvement in a child with COVID-19 infection and its management with CRRT
Bahare Yaghmaii1, Fatemeh Nili2, Zeinab Najafi1, Fariba Cheloi3, Mastaneh Moghtaderi4
1 Department of Intensive Care Unit, Fellowship of Intensive Care Unit, Children Medical Center Hospital, Tehran University of Medical Sciencees, Tehran, Iran 2 Department of Pathology, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran 3 Head Nurse of NICU ward, Children Medical Center Hospital, Tehran University of Medical Sciences, Tehran, Iran 4 Associate Professor of Pediatric Nephrology, Chronic Kidney disease Research Center, Children Medical Center Hospital, Tehran University of Medical Sciences, Tehran, Iran
Correspondence Address:
Mastaneh Moghtaderi Department of Pediatric Nephrology, Chronic Kidney disease Research Center, Children Medical Center Hospital, Tehran University of Medical Sciences, Tehran Iran
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ijpvm.IJPVM_421_20
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Novel Coronavirus disease (COVID-19) is a contagious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV 2) presenting mainly as an acute respiratory illness with interstitial and alveolar pneumonia. It can also affect multiple organs such as the kidney, heart, intestinal tract, blood, and nervous system. We report a 10-year-old boy presenting with severe cough, tachypnea, retraction and respiratory distress, fever, myalgia, oliguria, and anuria thereafter. He had no history of diarrhea, vomiting, or a runny nose. Laboratory findings include leukopenia and lymphopenia. CRP, ESR, and procalcitonin levels were high, but serum LDH was normal. RT-PCR test was positive. In the initial days of admission, he needed mechanical ventilation support due to ARDS and received antiviral drugs, renal replacement therapy, hemoperfusion, and other necessary supportive cares. Thirty-five days later, he weaned from the ventilator and discharged from hospital. Two weeks later, COVID-19 specific IgG was found in serologic test.
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