Cardiorenal syndrome in COVID-19
SARS-CoV-2 preferentially targets the human’s lungs, but it can affect multiple organ systems. We report a case of cardiorenal syndrome in a 37-year-old man who had symptoms of fever, myalgia and cough. He tested positive for COVID-19 and presented 5 days later with acute heart failure. Work up was...
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Veröffentlicht in: | BMJ case reports 2021-04, Vol.14 (4), p.e241914 |
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description | SARS-CoV-2 preferentially targets the human’s lungs, but it can affect multiple organ systems. We report a case of cardiorenal syndrome in a 37-year-old man who had symptoms of fever, myalgia and cough. He tested positive for COVID-19 and presented 5 days later with acute heart failure. Work up was done including echocardiography showing reduced ejection fraction. Later in the hospital course he developed acute renal failure and was treated with intermittent renal replacement therapy. No other definite cause of cardiorenal complications was identified during the course of the disease. A possible link with COVID-19 was considered with underlying mechanisms still needed to be explored. This case highlights the potential of SARS-CoV-2 affecting heart and kidneys. The disease not only involves the organs directly but can exacerbate the underlying comorbid illness. |
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We report a case of cardiorenal syndrome in a 37-year-old man who had symptoms of fever, myalgia and cough. He tested positive for COVID-19 and presented 5 days later with acute heart failure. Work up was done including echocardiography showing reduced ejection fraction. Later in the hospital course he developed acute renal failure and was treated with intermittent renal replacement therapy. No other definite cause of cardiorenal complications was identified during the course of the disease. A possible link with COVID-19 was considered with underlying mechanisms still needed to be explored. This case highlights the potential of SARS-CoV-2 affecting heart and kidneys. The disease not only involves the organs directly but can exacerbate the underlying comorbid illness.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2021-241914</identifier><identifier>PMID: 33893131</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Adult ; Biopsy ; Cardiac arrhythmia ; Cardio-Renal Syndrome - virology ; Cardiomyopathy ; Cardiovascular system ; Case Report ; Case reports ; Coronaviruses ; COVID-19 ; COVID-19 - complications ; COVID-19 - diagnosis ; Creatinine ; Disease ; Drug dosages ; Ejection fraction ; Heart failure ; Hemodialysis ; Hospitals ; Humans ; Intensive care ; Kidneys ; Male ; Mortality ; Patients ; Renal replacement therapy ; Severe acute respiratory syndrome coronavirus 2 ; Sinuses ; Staphylococcus infections ; X-rays</subject><ispartof>BMJ case reports, 2021-04, Vol.14 (4), p.e241914</ispartof><rights>BMJ Publishing Group Limited 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2021 BMJ Publishing Group Limited 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>BMJ Publishing Group Limited 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b456t-83fe8b3d80c2c788c32e945f2e7354dcfaea8a109247de047160d92691fb34853</citedby><cites>FETCH-LOGICAL-b456t-83fe8b3d80c2c788c32e945f2e7354dcfaea8a109247de047160d92691fb34853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8072702/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8072702/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33893131$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ali, Uzair Akbar</creatorcontrib><creatorcontrib>Sadiq, Muhammad Sajjad</creatorcontrib><creatorcontrib>Yunus, Muhammad Jawad</creatorcontrib><title>Cardiorenal syndrome in COVID-19</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>SARS-CoV-2 preferentially targets the human’s lungs, but it can affect multiple organ systems. 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subjects | Adult Biopsy Cardiac arrhythmia Cardio-Renal Syndrome - virology Cardiomyopathy Cardiovascular system Case Report Case reports Coronaviruses COVID-19 COVID-19 - complications COVID-19 - diagnosis Creatinine Disease Drug dosages Ejection fraction Heart failure Hemodialysis Hospitals Humans Intensive care Kidneys Male Mortality Patients Renal replacement therapy Severe acute respiratory syndrome coronavirus 2 Sinuses Staphylococcus infections X-rays |
title | Cardiorenal syndrome in COVID-19 |
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