Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a highly infectious viral pathogen with high morbidity and mortality rate. The infection affects multiple organ systems leading to systemic organ failure. There is an increased incidence of acute kidney injury (AKI) in patients who become critically ill. In the critical care setting, the incidence of AKI has been variable amongst different studies. Patients with acute kidney injury who progress to renal replacement therapy are associated with worse outcomes. We describe a case of a 42-year-old male who presented with hypoxemic respiratory failure secondary to SARS-CoV-2 associated pneumonia. The patient was initially managed with the nasal cannula and then required high flow nasal cannula with worsening hypoxemic respiratory failure, requiring invasive mechanical ventilation. On top of worsening respiratory status, the patient developed new onset renal failure requiring hemodialysis.
【저자키워드】 dialysis, COVID, AKI, 【초록키워드】 SARS-CoV-2, coronavirus, Critical care, Respiratory failure, Pneumonia, Infection, nasal, Acute kidney injury, outcomes, Hemodialysis, Critically ill, male, Patient, morbidity and mortality, incidence, renal replacement therapy, Organ failure, organ system, acute respiratory syndrome, worsening, renal, viral pathogen, hypoxemic, Affect, the patient, required, invasive mechanical, worsening respiratory status, 【제목키워드】 coronavirus 2, respiratory, failure,