A case of SARS-CoV-2-infection in a child with chronic kidney disease
https://doi.org/10.22627/2072-8107-2022-21-2-67-72
Abstract
Kidney disease and chronic renal failure are among the main comorbidities of the complicated course of COVID-19.
Objective: to identify the clinical features of the course of a new coronavirus SARS-CoV-2-infection in a child aged 2 years 2 months with chronic kidney disease and dialysis-dependent renal failure.
A new coronavirus infection typically began with a moderate intoxication syndrome and catarrhal symptoms, confirmed by the detection of SARS-CoV-2 RNA. Computed tomography of the chest revealed signs of bilateral pneumonia, 30% damage to the lung tissue. Progression occurred by the 4th day of hospitalization with the development of a multisystem inflammatory syndrome, including damage to the cardiovascular system of the digestive system against the background of the existing end-stage renal failure. Laboratory criteria for multisystem inflammatory syndrome were an increase procalcitonin, C-reactive protein, and ferritin. As a result of the developed multiple organ failure, a fatal outcome occurred.
About the Authors
O. V. Kovaleva
Orenburg State Medical University of the Ministry of Health of Russia
Russian Federation
Russian Federation
PhD
Orenburg
L. A. Lityaeva
Orenburg State Medical University of the Ministry of Health of Russia
Russian Federation
Russian Federation
MD, Professor
Orenburg
O. V. Kaykova
Orenburg Regional Clinical Infectious Disease Hospital
Russian Federation
Russian Federation
Orenburg
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Review
For citations:
Kovaleva O.V., Lityaeva L.A., Kaykova O.V. A case of SARS-CoV-2-infection in a child with chronic kidney disease. CHILDREN INFECTIONS. 2022;21(2):67-72. (In Russ.) https://doi.org/10.22627/2072-8107-2022-21-2-67-72
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