Bilateral renal infarction in a patient with severe COVID-19 infection
Percy Herrera‐Añazco, Fernando Mayor Balta, Liz Córdova-Cueva
Abstract
Thromboembolic events are frequent in patients with COVID-19 infection, and no cases of bilateral renal infarctions have been reported. We present the case of a 41-year-old female patient with diabetes mellitus and obesity who attended the emergency department for low back pain, respiratory failure associated with COVID-19 pneumonia, diabetic ketoacidosis, and shock. The patient had acute kidney injury and required hemodialysis. Contrast abdominal tomography showed bilateral renal infarction and anticoagulation was started. Kidney infarction cases require high diagnostic suspicion and possibility of starting anticoagulation.
Topics & Concepts
MedicineDiabetic ketoacidosisDiabetes mellitusInfarctionHemodialysisPneumoniaAbdominal painCoronavirus disease 2019 (COVID-19)Shock (circulatory)Emergency departmentMyocardial infarctionAcute kidney injuryInternal medicineSurgeryCardiologyDiseaseInfectious disease (medical specialty)EndocrinologyPsychiatryCOVID-19 Clinical Research StudiesCOVID-19 and healthcare impactsLong-Term Effects of COVID-19