Exacerbated Chronic Kidney Disease as a Cause of Mortality in a Patient with COVID-19

Authors

Keywords:

chronic kidney disease, SARS-CoV-2, COVID-19, acute kidney failure.

Abstract

Introduction: SARS-CoV-2 infection in patients with chronic kidney disease is associated with a long hospital stay, the appearance of complications and mortality.

Objective: To describe the clinical case of a patient with exacerbated chronic kidney disease as a cause of mortality in the presence of COVID-19 infection.

Clinical case: A 69-year-old male patient with a history of stage 3a chronic kidney disease who was admitted to a hospital with a diagnosis of COVID-19 and who during his stay presented elevated serum creatinine levels with the subsequent development of acute kidney injury. After five hemodialysis sessions, the patient's general condition improved and the creatinine levels partially decreased. Despite clinical improvement, the patient progressed to the last stage of chronic kidney disease. After three weeks under chronic hemodialytic therapy, the patient died due to ST-segment elevation acute coronary syndrome.

Conclusions: The prognosis of patients with kidney damage who develop COVID-19 is unfavorable. SARS-CoV-2 infection favors progression to the final stages of chronic kidney disease with an increased risk of mortality.

 

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Author Biographies

Sergio Orlando Escalona González, Policlínico Docente: "Manuel Fajardo Rivero"

Residente de Tercer año de Medicina General Integral. Profesor instructor

Zoraida Caridad González Milán, Hospital General Docente: "Dr. Ernesto Guevara de la Serna"

Especialista de I grado en Medicina General Integral y II grado en Nefrología. Máster en Longevidad Satisfactoria. Profesor Auxiliar. Investigador Agregado

Omar Borrero Celles, Instituto Nacional de Oncología y Radiobiología

Especialista de I grado en Medicina Interna. Profesor instructor.

Beatriz Ricardo Paez, Universidad de Ciencias Médicas de Las Tunas. Facultad de Ciencias Médicas "Dr. Zoilo Enrique Marinello Vidaurreta"

Estudiante de cuarto año de Medicina. Alumna ayudante en Nefrología.

Published

2023-07-17

How to Cite

1.
Escalona González SO, González Milán ZC, Borrero Celles O, Ricardo Paez B. Exacerbated Chronic Kidney Disease as a Cause of Mortality in a Patient with COVID-19. Rev Cubana Med [Internet]. 2023 Jul. 17 [cited 2025 Jul. 8];62(3). Available from: https://revmedicina.sld.cu/index.php/med/article/view/3167