A CASE OF COVID-19 PNEUMONIA IN HEMODIALYSIS PATIENT

  • Tatjana Stojanoska Specialized hospital of Nephrology, Struga, R. of North Macedonia
  • Irena Rambabova Bushljetik University Clinic of Nephrology, Medical Faculty, Ss Cyril and Methodius University, Skopje, R.of North Macedonia
  • Osman Murtezai Specialized hospital of Nephrology, Struga, R. of North Macedonia
  • Natasha Taleska Matovska Specialized hospital of Nephrology, Struga, R. of North Macedonia
  • Elizabeta Dimoska Chifligaroska Specialized hospital of Nephrology, Struga, R. of North Macedonia
  • Olga Caposka Specialized hospital of Nephrology, Struga, R. of North Macedonia

Abstract

SARS-CoV-2 (COVID-19) is an infectious disease caused by a novel corona virus that has spread rapidly, resulting in a worldwide pandemic. Even though end-stage renal disease (ESRD) patients are particularly susceptible to COVID-19 infection and can develop severe to critical clinical presentation, there are still limited studies and case reports about COVID-19 in ESRD patients.End-stage renal disease (ESRD) is a severe medical condition with a high prevalence of co-morbid conditions including diabetes, hypertension, and cardiovascular disease.We report case of a 72-years-old woman with ESRD on regular hemodialysis-outpatient, with history of diabetes mellitus type-2 and hypertension, which was positive to COVID-19 and developed pneumonia. She was one of our first registered cases of COVID-19 in our hospital and was successfully cured. Our patient reported symptoms typical of COVID-19, initially, (fever, sweating, weakness, stuffy nose, dry cough and shortness of breath, although she denied contact with infected individuals), but on the day of admission her clinical picture was atypical. She developed a severe clinical picture with the typical presentation of COVID-19 pneumonia on chest X-ray, but without leukopenia as a typical presentation of this disease in her laboratory findings. We describe the clinical presentation of this patient, the diagnostic process, the laboratory and imaging investigations, as well as the course and outcome of treatment.


KeywordsCOVID-19, Hemodialysis, Pneumonia, x-ray.

References

1.WHO Director-General's opening remarks at the mission briefing on COVID-19 – 16, April 2020. https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-mission-briefing-on-covid-19---16-april-2020 2020 :19.
2.Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Zhou F, Yu T, Du R, et al. Lancet. 2020;395:1054–1062. [PMC free article] [PubMed] [Google Scholar]
3.Preliminary estimates of the prevalence of selected underlying health conditions among patients with Coronavirus disease 2019 — United States, February 12-March 28, 2020. Chow N, Fleming-Dutra K, Gierke R, et al. MMWR Morb Mortal Wkly Rep. 2020;69:382–386. [PMC free article] [PubMed] [Google Scholar]
4.System USRD. Natl Institutes Heal Natl Inst Diabetes Dig Kidney Dis., 2018 USRDS annual report: epidemiology of kidney disease in the United States; pp. 0–78. [Google Scholar]
5.Clinical characteristics of 138 hospitalized patients with 2019 novel Coronavirus-infected pneumonia in Wuhan, China. Wang D, Hu B, Hu C, et al. JAMA. 2020;323:1061–1069. [PMC free article] [PubMed] [Google Scholar]
6.Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Chen N, Zhou M, Dong X, et al. Lancet. 2020;395:0–513. [PMC free article] [PubMed] [Google Scholar]
7.COVID-19 in hemodialysis patients: a report of 5 cases. Wang R, Liao C, He H, et al. Am J Kidney Dis. 2020; Published online ahead of print [Google Scholar]
8.Diagnosis and treatment protocol for novel Coronavirus pneumonia (Trial Version 7), April 2020; http://www.kankyokansen.org/uploads/uploads/files/jsipc/protocol_V7.pdf 2020 7:1–17. [Google Scholar]
9.ACR Recommendations for the use of chest radiography and computed tomography (CT) for suspected COVID-19 infection, April 2020; https://www.acr.org/Advocacy-and-Economics/ACR-Position-Statements/Recommendations-for-Chest-Radiography-and-CT-for-Suspected-COVID19-Infection. 2020
Published
2021-03-18
How to Cite
STOJANOSKA, Tatjana et al. A CASE OF COVID-19 PNEUMONIA IN HEMODIALYSIS PATIENT. Journal of Morphological Sciences, [S.l.], v. 4, n. 1, p. 22-28, mar. 2021. ISSN 2545-4706. Available at: <https://jms.mk/jms/article/view/205>. Date accessed: 28 july 2021.
Section
Articles