Zeki KEMEÇ

COVID-19 Pnömonisi ve Akut Böbrek Hasarı: Hemodiyaliz Tedavisi

Koronavirüs hastalığı 2019 (COVID-19), şiddetli akut solunum sendrom coronavirus 2 virüsünün (SARS-CoV-2) neden olduğu oldukça bulaşıcı bir hastalıktır. COVID-19 hastalığına yakalanan hastalarda akut böbrek hasarı (ABH) ortaya çıkmaktadır. AKI hafif proteinüri, hematüri ve kreatininde hafif yükselme gibi tablolar ile kendini göstermektedir. Virüsün böbrek tropizmi ve multiorgan yetmezliği bu klinik tablolara zemin hazırlanmaktadır. Bu vaka raporunda, hipertansiyon (HT), diabetes mellitus (DM) ve geçirmiş tüberküloz anemnezi gibi komorbid durumları olan 69 yaşındaki bir bireyde, COVID-19 pnömonisi saptandı. Aynı anda şiddetli AKI vardı. Hipoksi, hipotansiyon ve anüri bulguları nedeniyle yoğun bakım ünitesinde (YBÜ) izlendi. Üç seans hemodiyaliz (HD) uygulandı. Hasta tedaviye cevap verdi ve böbrekleri tamamen iyileşti.

Anahtar Kelimeler:

Koronavirüs Hastalığı 2019, Akut Böbrek Hasarı, Hemodiyaliz

COVID-19 Pneumonia and Acute Kidney Injury: Delivery of Hemodialysis Therapy

TherapyCoronavirus disease 2019 (COVID-19) is a highly infective disease caused by the severe acute respiratory syndrome coronavirus 2 virus (SARS-CoV-2). It has been shown that the patients who contracted COVID-19 disease are exposed to kidney damage through acute kidney injury (AKI), mild proteinuria, hematuria or slight elevation in creatinine, probably as a result of kidney tropism of the virus and multiorgan failure. In this case report, a 69-year-old patient with a background of comorbid conditions, such as hypertension (HT), diabetes mellitus (DM) and a history of tuberculosis, had COVID-19 pneumonia associated with AKI. He was followed in intensive care units (ICU) due to the signs of hypoxia, hypotension and anuria. Hemodialysis (HD) was administrated in three sessions. The patient responded to the treatment, and his kidneys were fully recovered.

Keywords:

Coronavirus Disease 2019, Acute Kidney Injury, Hemodialysis,

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