Case Report

Covid-19 in single kidney patient

Covid-19 in single kidney patient

Abstract

The Covid-19 pandemic has affected all people in the world, especially those at risk as kidney disordersEarly kidney damage in patients born with unilateral renal agenesis (URA) or solitary kidney can happen. These patients are at risk of chronic kidney disease (CKD), high blood pressure, and developing proteinuria. Unilateral renal agenesis is a cause of CKD. Therefore it is very interesting that observes a unilateral renal Patient that Suffers from Covid-19. Hence, the management of these patients with Covid‐19 is an area of interest, and a unique approach is warranted. A 43-year-old male patient with unilateral renal presented to our hospital for corona disease. The case was discussed between the nephrologists, Infectious disease specialists, and nursing head nurses for a care plan, daily. The patient had unilateral renal disease and Covid-19 could have a detrimental effect on the renal, but renal tests were normal and the patient recovered without acute renal complications. The treatment of such patients is the need for teamwork contain nephrologists, critical care nurses, and specialists in infectious and tropical diseases. This was a new experience in Iran. 

1. Saran R, Robinson B, Abbott KC, Agodoa LY, Albertus P, Ayanian J. United States Renal Data System: 2016 USRDS Annual Data Report: Epidemiology of Kidney Disease in the United States. Am J Kidney Dis 2017;69:A7-8.
2. Sawalmeh O, Moala S, Hamdan Z, Masri H, Ayoub K, Khazneh E, et al. Pulse versus daily oral Alfacalcidol treatment of secondary hyperparathyroidism in hemodialysis patients: a randomized controlled trial. Int J Nephrol Renovasc Dis 2018;11:25-32.
3. Hojat M. Hemodialysis adequacy in patients with chronic renal failure. Iran J Crit Care Nurs 2009;2:61-6.
4. Hojat M, Karimiar M, Karami Z. Effect of continuous care model on sleep quality and dialysis adequacy of hemodialysis Patients: a clinical trial study. Medsurg Nurs J 2015;4:31-8.
5. Cheng Y, Luo R, Wang K, Zhang M, Wang Z, Dong L, et al. Kidney disease is associated with in-hospital death of patients with COVID-19. Kidney Int 2020;97:829-38.
6. Kalani N, Hatami N, Haghbeen M, Yaqoob U, Raeyat Doost E. COVID-19 Health Care for Afghan Refugees as a Minor Ethnicity in Iran: Clinical Differences and Racial Equality in Health. Acta Med Iran 2021;59:466-71.
7. Cravedi P, Suraj SM, Azzi Y, Haverly M, Farouk S, Pérez‐Sáez MJ, et al. COVID‐19 and Kidney Transplantation: Results from the TANGO International Transplant Consortium. Am J Transplant 2020;20:3140-8.
8. Arpali E, Akyollu B, Yelken B, Tekin S, Turkmen A, Kocak B. Case report: A kidney transplant patient with mild COVID‐19. Transpl Infect Dis 2020;22:e13296.
9. Cheng Y, Luo R, Wang K, Zhang M, Wang Z, Dong L, Li J, Yao Y, Ge S, Xu G. Kidney disease is associated with in-hospital death of patients with COVID-19. Kidney international. 2020 May 1;97(5):829-38.
10. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. JAMA 2020;323:1061-9.
11. Fares R, Zgheib A, Hallit R, Hallit S. Oseltamivir-induced behavioral changes in a female Lebanese adolescent: a case report of a usual drug with unusual side effect. Future Sci OA 2020;6:FSO602.
12. Owens B. Hydroxychloroquine side-effects raise concerns for rheumatology patients. Lancet Rheumatol 2020;2:e390.
13. Ng M-Y, Lee EY, Yang J, Yang F, Li X, Wang H, et al. Imaging profile of the COVID-19 infection: radiologic findings and literature review. Radiol Cardiothorac Imaging 2020;2:e200034.
Files
IssueVol 60 , No 1 (2022) QRcode
SectionCase Report(s)
DOI https://doi.org/10.18502/acta.v60i1.8331
Keywords
Unilateral renal Covid-19 Solitary kidney

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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Raofi R, Pourfarid Y, Kalani N, Hojat M. Covid-19 in single kidney patient. Acta Med Iran. 2022;60(1):67-70.