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CASE REPORT
Year : 2022  |  Volume : 13  |  Issue : 1  |  Page : 19

Renal involvement in a child with COVID-19 infection and its management with CRRT


1 Department of Intensive Care Unit, Fellowship of Intensive Care Unit, Children Medical Center Hospital, Tehran University of Medical Sciencees, Tehran, Iran
2 Department of Pathology, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran
3 Head Nurse of NICU ward, Children Medical Center Hospital, Tehran University of Medical Sciences, Tehran, Iran
4 Associate Professor of Pediatric Nephrology, Chronic Kidney disease Research Center, Children Medical Center Hospital, Tehran University of Medical Sciences, Tehran, Iran

Correspondence Address:
Mastaneh Moghtaderi
Department of Pediatric Nephrology, Chronic Kidney disease Research Center, Children Medical Center Hospital, Tehran University of Medical Sciences, Tehran
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijpvm.IJPVM_421_20

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Novel Coronavirus disease (COVID-19) is a contagious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV 2) presenting mainly as an acute respiratory illness with interstitial and alveolar pneumonia. It can also affect multiple organs such as the kidney, heart, intestinal tract, blood, and nervous system. We report a 10-year-old boy presenting with severe cough, tachypnea, retraction and respiratory distress, fever, myalgia, oliguria, and anuria thereafter. He had no history of diarrhea, vomiting, or a runny nose. Laboratory findings include leukopenia and lymphopenia. CRP, ESR, and procalcitonin levels were high, but serum LDH was normal. RT-PCR test was positive. In the initial days of admission, he needed mechanical ventilation support due to ARDS and received antiviral drugs, renal replacement therapy, hemoperfusion, and other necessary supportive cares. Thirty-five days later, he weaned from the ventilator and discharged from hospital. Two weeks later, COVID-19 specific IgG was found in serologic test.


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