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.
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【저자키워드】 SARS-CoV-2, kidney, Coronavirus infections, Thromboembolism, Renal Infarction, Renal Dialysis, Infarto Renal, Tromboembolia, Infecções por Coronavirus, Rim, Diálise Renal, 【초록키워드】 COVID-19 pneumonia, Respiratory failure, anticoagulation, Pneumonia, low back pain, obesity, Infection, Diabetes Mellitus, diagnostic, tomography, Acute kidney injury, diabetes, emergency department, Shock, Hemodialysis, COVID-19 infection, female, Patient, diabetic ketoacidosis, Infarction, Diabetic, back pain, renal, event, reported, required, Contrast, patients with COVID-19, with COVID-19, 【제목키워드】 Patient, Infarction, Severe COVID-19 Infection, renal, Bilateral,
【저자키워드】 SARS-CoV-2, kidney, Coronavirus infections, Thromboembolism, Renal Infarction, Renal Dialysis, Infarto Renal, Tromboembolia, Infecções por Coronavirus, Rim, Diálise Renal, 【초록키워드】 COVID-19 pneumonia, Respiratory failure, anticoagulation, Pneumonia, low back pain, obesity, Infection, Diabetes Mellitus, diagnostic, tomography, Acute kidney injury, diabetes, emergency department, Shock, Hemodialysis, COVID-19 infection, female, Patient, diabetic ketoacidosis, Infarction, Diabetic, back pain, renal, event, reported, required, Contrast, patients with COVID-19, with COVID-19, 【제목키워드】 Patient, Infarction, Severe COVID-19 Infection, renal, Bilateral,
초록 - 코로나19 감염 환자에서 혈전색전증이 자주 발생하며 양측성 신경색증은 보고된 바 없다. 요통, 코로나19 폐렴과 관련된 호흡부전, 당뇨병성 케톤산증, 쇼크로 응급실에 내원한 당뇨병 및 비만을 가진 41세 여성 환자의 증례를 제시한다. 환자는 급성 신장 손상이 있어 혈액 투석이 필요했습니다. 조영제 복부 단층촬영에서 양측성 신경색이 관찰되었고 항응고제가 시작되었다. 신장 경색증의 경우 높은 진단적 의심과 항응고 치료를 시작할 가능성이 필요합니다.