COVID-19 ve akut böbrek hasarı

COVID 19 başlıca solunum sistemini etkiler ancak virüs hücrelere böbrekte bol miktarda bulunan anjiyotensin dönüştürücü enzim 2 reseptörü aracılığıyla girdiğinden böbrek SARS CoV 2 enfeksiyonunun hedeflerinden biri olabilir. COVID 19 ve böbrek hakkındaki bilgiler sınırlı olmasına rağmen hızla gelişmektedir. COVID 19 hastalarında akut böbrek hasarının (ABH) patofizyolojisi ve mekanizmaları tam olarak aydınlatılmamış olup; COVID 19 ABHʹnin önlenmesi ve yönetimi hakkında çok az şey bilinmektedir. Bu derleme, COVID 19ʹda ABH patofizyolosini, klinik özelliklerini ve akut böbrek hastalığının önlenmesi ve yönetimi hakkında detaylı bilgiler sunmaktadır.

COVID-19 AND ACUTE KIDNEY INJURY

COVID 19 mainly affects the respiratory system, but as the virus enters the cells via the angiotensin converting enzyme 2 receptor, which is abundant in the kidney, the kidney may be one of the targets of SARS CoV 2 infection. Information on COVID 19 and the kidney is rapidly evolving, although yet limited. The pathophysiology and mechanisms of acute kidney injury (AKI) in COVID 19 patients have not been fully elucidated; little is known about the prevention and management of COVID 19 AKI. This review provides detailed information on the pathophysiology of AKI, clinical features, and prevention and management of acute kidney disease in COVID 19.

___

  • 1. Yang X, Yu Y, Xu J, Shu H, Xia J, Liu H, et al. Clinical course and outcomes of critically ill patients with SARS CoV 2 pneumonia in Wuhan, China: a single centered, retrospective, observational study. Lancet Respir Med. 2020;8(5):475–81.
  • 2. Xia P, Wen Y, Duan Y, Su H, Cao W, Xiao M, et al. Clinicopathological Features and Outcomes of Acute Kidney Injury in Critically Ill COVID 19 with Prolonged Disease Course: A Retrospective Cohort. J Am Soc Nephrol. 2020;31(9):2205–21.
  • 3. Hirsch JS, Ng JH, Ross DW, Sharma P, Shah HH, Barnett RL, et al. Acute kidney injury in patients hospitalized with COVID 19. Kidney Int. 2020 Jul;98(1):209–18.
  • 4. Robbins Juarez SY, Qian L, King KL, Stevens JS, Husain SA, Radhakrishnan J, et al. Outcomes for Patients With COVID 19 and Acute Kidney Injury: A Systematic Review and Meta Analysis. Kidney Int Reports. 2020;5(8):1149–60.
  • 5. Cheng Y, Luo R, Wang K, Zhang M, Wang Z, Dong L, et al. Kidney disease is associated with inhospital death of patients with COVID 19. Kidney Int. 2020;97: 829–38.
  • 6. Neugarten J, Bellin E, Yunes M, Stahl L, Johns TS, Abramowitz MK, et al. AKI in Hospitalized Patients with and without COVID 19: A Comparison Study. J Am Soc Nephrol. 2020;31(9):2145–57.
  • 7. Vaduganathan M, Vardeny O, Michel T, McMurray JJV, Pfeffer MA, Solomon SD. Renin– Angiotensin–Aldosterone System Inhibitors in Patients with Covid 19. N Engl J Med. 2020;382(17):1653–9.
  • 8. Ye M, Wysocki J, William J, Soler MJ, Cokic I, Batlle D. Glomerular localization and expression of angiotensin converting enzyme 2 and angiotensin converting enzyme: Implications for albuminuria in diabetes. J Am Soc Nephrol. 2006;17(11):3067–75.
  • 9. Su H, Yang M, Wan C, Yi LX, Tang F, Zhu HY, et al. Renal histopathological analysis of 26 postmortem findings of patients with COVID 19 in China. Kidney Int. 2020;98(1):219–27.
  • 10. Imai Y, Kuba K, Rao S, Huan Y, Guo F, Guan B, et al. Angiotensin converting enzyme 2 protects from severe acute lung failure. Nature. 2005;436(7047):112–6.
  • 11. Gheblawi M, Wang K, Viveiros A, Nguyen Q, Zhong JC, Turner AJ, et al. Angiotensin Converting Enzyme 2: SARS CoV 2 Receptor and Regulator of the Renin Angiotensin System: Celebrating the 20th Anniversary of the Discovery of ACE2. Circ Res. 2020;126(10):1456–74.
  • 12. Fang L, Karakiulakis G, Roth M. Are patients with hypertension and diabetes mellitus at increased risk for COVID 19 infection? Lancet Respir Med. 2020;8(4):e21.
  • 13. COVID 19 and the use of angiotensin converting enzyme inhibitors and receptor blockers. Scientific brief. (2020). Pediatria i Medycyna Rodzinna, 16(1), 120–121. https://doi.org/10.15557/PiMR.2020.0023.
  • 14. Santoriello D, Khairallah P, Bomback AS, Xu K, Kudose S, Batal I, et al. Postmortem Kidney Pathology Findings in Patients with COVID 19. J Am Soc Nephrol. 2020;31(9):2158–67.
  • 15. Werion A, Belkhir L, Perrot M, Schmit G, Aydin S, Chen Z, et al. SARS CoV 2 causes a specific dysfunction of the kidney proximal tubule. Kidney Int. 2020;98(5):1296–307.
  • 16. Farkash EA, Wilson AM, Jentzen JM. Ultrastructural evidence for direct renal infection with sars cov 2. J Am Soc Nephrol. 2020;31(8):1683–7.
  • 17. Miller SE, Brealey JK. Visualization of putative coronavirus in kidney. Kidney Int. 2020;98:231–2.
  • 18. Gabrielli L, Bonasoni MP, Lazzarotto T, Lega S, Santini D, Foschini MP, et al. Histological findings in foetuses congenitally infected by cytomegalovirus. J Clin Virol. 2009;46 (Suppl. 4):S16 21.
  • 19. Zarbock A, Gomez H, Kellum JA. Sepsis induced acute kidney injury revisited: Pathophysiology, prevention and future therapies. Curr Opin Crit Care. 2014;20:588–95.
  • 20. Perico L, Benigni A, Remuzzi G. Should COVID 19 Concern Nephrologists? Why and to What Extent? the Emerging Impasse of Angiotensin Blockade. Nephron.2020;144(5):213–21.
  • 21. Pei G, Zhang Z, Peng J, Liu L, Zhang C, Yu C, et al. Renal involvement and early prognosis in patients with COVID 19 pneumonia. J Am Soc Nephrol. 2020;31:1157–65.
  • 22. Mohamed MMB, Lukitsch I, Torres Ortiz AE, Walker JB, Varghese V, Hernandez Arroyo CF, et al. Acute Kidney Injury Associated with Coronavirus Disease 2019 in Urban New Orleans. Kidney360. 2020;1(7):614–22.
  • 23. Chan KH, Slim J. Rhabdomyolysis as potential late complication associated with COVID 19. Emerg Infect Dis. 2020;26(10):2535.
  • 24. Tang N, Li D, Wang X, Sun Z. Abnormal coagulation parameters are associated with poor prognosis in patients with novel coronavirus pneumonia. J Thromb Haemost. 2020;18(4):844–7.
  • 25. Llitjos JF, Leclerc M, Chochois C, Monsallier JM, Ramakers M, Auvray M, et al. High incidence of venous thromboembolic events in anticoagulated severe COVID 19 patients. J Thromb Haemost. 2020;18(7):1743–6.
  • 26. Sterne JAC, Murthy S, Diaz J V., Slutsky AS, Villar J, Angus DC, et al. Association between Administration of Systemic Corticosteroids and Mortality among Critically Ill Patients with COVID 19: A Meta analysis. JAMA J Am Med Assoc. 2020;324(13):1330–41.
  • 27. Nadim MK, Forni LG, Mehta RL, Connor MJ, Liu KD, Ostermann M, et al. COVID 19 associated acute kidney injury: consensus report of the 25th Acute Disease Quality Initiative (ADQI) Workgroup. Nature Rev Nephrol. 2020;16: 747–64.
Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi-Cover
  • ISSN: 1300-6622
  • Yayın Aralığı: 3
  • Başlangıç: 2015
  • Yayıncı: -
Sayıdaki Diğer Makaleler

COVID-19 tedavisinde kullanılan ilaçların güvenliliği

Elif BARIŞ, Mukaddes GÜMÜŞTEKİN, M. Aylin ARICI

MikroRNA’ lar ve mikroRNA’ ların biyobelirteç olarak endometriozis ve endometriozis ilişkili epitelyal over kanserlerindeki rolü

Canan KELTEN TALU, Emine ÇAĞNUR ULUKUŞ

Konjenital faktör VII eksikliği tespit edilen olguda laparaskopik kolesistektomi: Olgu sunumu

Cihan AĞALAR, Tarkan ÜNEK, Anıl AYSAL, Tufan EGELİ, İnan YILMAZ, Seçkin SOĞUCAK, Serkan GÜVEN

Dokuz Eylül Üniversitesi Hastanesi Yoğun Bakım Ünitesi’ne kabul edilen ilk 80 COVID-19 hastasının değerlendirilmesi

Vecihe BAYRAK, Ferhan DEMİRER AYDEMİR, Necati GÖKMEN, Nurcan ŞENTÜRK DURUKAN, Betül DENİZLİ, Begüm ERGAN, Naciye Sinem GEZER

Dokuz Eylül Üniversitesi Tıp Fakültesi COVID-19 hasta yönetimi uzlaşı raporu

Aylin ÖZGEN ALPAYDIN, Asım Oktay ERGENE, Vildan AVKAN OĞUZ, Başak BAYRAM, Bahar KUVAKİ, Serkan YENER, Banu DİLEK, Necati GÖKMEN

COVID-19 salgını sürecinde Dokuz Eylül Üniversitesi Tıp Fakültesi mezuniyet öncesi tıp eğitimi programı uygulama deneyimi

Asım Oktay ERGENE, Aydan ÖZKÜTÜK, Caner ÇAVDAR, Berna MUSAL

COVID-19’da biyokimyasal ve hematolojik parametreler

Özlem GÜRSOY DORUK, Murat ÖRMEN, Pınar TUNCEL

COVID-19 tanısında biyokimyasal testlerin makine öğrenimi destekli kullanımı

Gaye MALAŞ, Emel ALTEKİN, Alper KUTLU

The effect of maternal anxiety during delivery on birth outcomes

Suna YILDIRIM KARACA, Deniz Can ÖZTEKİN, Alper İLERİ, Ayşe Rabia ŞENKAYA, Hüseyin ABACI, Alaattin KARABULUT, Hakkı AYTAÇ, Mehmet Buğrahan GÜRCAN

Dokuz Eylül Üniversite Hastanesi COVID-19 İzlem Merkezi: İşleyiş ve Ön Bulgular

Murat DUMAN, Serdar BAYRAK, Naciye Sinem GEZER, Vildan AVKAN OĞUZ, Salih KESKİN, Hasan Can CİMİLLİ, Semih KÜÇÜKGÜÇLÜ, Belgin ÜNAL, Tolga BİNBAY, Ahmet Naci EMECEN, ÖYKÜ TURUNÇ, Neslişah ŞİYVE, Ahmet Furkan SÜNER, Ecem BAŞOĞLU ŞENSOY, Arzu NAZLI, Oğuz KILINÇ, Gökçen ÖMEROĞLU ŞİMŞEK, Arzu SAYINER, Meh