Thrombotic Microangiopathy in Patients Recovering from COVID-19

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1. Verfasser: Laura López-Marín
Format: Artículo científico
Sprache:en
Veröffentlicht: Medical Education Cooperation with Cuba 2022
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author Laura López-Marín
author_facet Laura López-Marín
contents Thrombotic Microangiopathy in Patients Recovering from COVID-19 Laura López-Marín Raymed A. Bacallao-Méndez Betsy Llerena-Ferrer Aymara Badell-Moore Yamile García-Villar Leticia Rodríguez-Leyva Raúl Herrera-Valdés Medicina 19 Cuba COVID kidney biopsy INTRODUCTION During the pandemic caused by the SARS-CoV-2 virus, some patients who develop severe forms of COVID-19 present thrombotic microangiopathy in the course of the disease’s clinical progression.METHODS Data came from direct patient observation and clinical records. We performed a kidney biopsy and used optical microscopy and immunofluorescence techniques.RESULTS We present the case of a 78-year-old male patient, mestizo, overweight with a history of high blood pressure, ischemic cardiopathy and chronic obstructive pulmonary disease who was first admitted to the hospital due to respiratory symptoms and diarrhea related to COVID-19, from which he recovered. He was subsequently readmitted with symptoms of acute renal dysfunction accompanied by mild anemia and thrombocytopenia; at the same time, he resulted negative for COVID-19 via a real-time polymerase chain reaction test. A kidney biopsy revealed thrombi in glomerular capillaries, acute tubular necrosis, thickening of extraglomerular blood vessel walls, and C3 deposits in the glomerular tufts.CONCLUSIONS We describe a case of thrombotic microangiopathy with kidney biopsy in a patient recovering from COVID-19. Acute renal dysfunction is a form of thrombotic microangiopathy that has been observed in patients recovering from COVID-19. 2022 artículo científico 1555-7960 https://www.redalyc.org/articulo.oa?id=437569929007 https://www.redalyc.org/journal/4375/437569929007/ https://www.redalyc.org/journal/4375/437569929007/html/ https://www.redalyc.org/journal/4375/437569929007/437569929007.epub https://www.redalyc.org/journal/4375/437569929007/movil https://doi.org/10.37757/MR2022.V24.N1.2 en http://www.redalyc.org/revista.oa?id=4375 MEDICC Review application/pdf Medical Education Cooperation with Cuba MEDICC Review (Estados Unidos de América) Num.1 Vol.24
format Artículo científico
id redalyc_437569929007
institution Redalyc
language en
publishDate 2022
publisher Medical Education Cooperation with Cuba
spellingShingle Thrombotic Microangiopathy in Patients Recovering from COVID-19
Laura López-Marín
Medicina
19
Cuba
COVID
kidney
biopsy
Thrombotic Microangiopathy in Patients Recovering from COVID-19 Laura López-Marín Raymed A. Bacallao-Méndez Betsy Llerena-Ferrer Aymara Badell-Moore Yamile García-Villar Leticia Rodríguez-Leyva Raúl Herrera-Valdés Medicina 19 Cuba COVID kidney biopsy INTRODUCTION During the pandemic caused by the SARS-CoV-2 virus, some patients who develop severe forms of COVID-19 present thrombotic microangiopathy in the course of the disease’s clinical progression.METHODS Data came from direct patient observation and clinical records. We performed a kidney biopsy and used optical microscopy and immunofluorescence techniques.RESULTS We present the case of a 78-year-old male patient, mestizo, overweight with a history of high blood pressure, ischemic cardiopathy and chronic obstructive pulmonary disease who was first admitted to the hospital due to respiratory symptoms and diarrhea related to COVID-19, from which he recovered. He was subsequently readmitted with symptoms of acute renal dysfunction accompanied by mild anemia and thrombocytopenia; at the same time, he resulted negative for COVID-19 via a real-time polymerase chain reaction test. A kidney biopsy revealed thrombi in glomerular capillaries, acute tubular necrosis, thickening of extraglomerular blood vessel walls, and C3 deposits in the glomerular tufts.CONCLUSIONS We describe a case of thrombotic microangiopathy with kidney biopsy in a patient recovering from COVID-19. Acute renal dysfunction is a form of thrombotic microangiopathy that has been observed in patients recovering from COVID-19. 2022 artículo científico 1555-7960 https://www.redalyc.org/articulo.oa?id=437569929007 https://www.redalyc.org/journal/4375/437569929007/ https://www.redalyc.org/journal/4375/437569929007/html/ https://www.redalyc.org/journal/4375/437569929007/437569929007.epub https://www.redalyc.org/journal/4375/437569929007/movil https://doi.org/10.37757/MR2022.V24.N1.2 en http://www.redalyc.org/revista.oa?id=4375 MEDICC Review application/pdf Medical Education Cooperation with Cuba MEDICC Review (Estados Unidos de América) Num.1 Vol.24
title Thrombotic Microangiopathy in Patients Recovering from COVID-19
topic Medicina
19
Cuba
COVID
kidney
biopsy
url https://www.redalyc.org/articulo.oa?id=437569929007
https://www.redalyc.org/journal/4375/437569929007/
https://www.redalyc.org/journal/4375/437569929007/html/
https://www.redalyc.org/journal/4375/437569929007/437569929007.epub
https://www.redalyc.org/journal/4375/437569929007/movil
https://doi.org/10.37757/MR2022.V24.N1.2