Renal infarction associated with asymptomatic Covid-19 infection

Murray, Nigel P; Fuentealba, Cynthia; Reyes, Eduardo; Salazar, Aníbal

doi:10.1016/j.htct.2021.03.008

Cited by 12 publications

(12 citation statements)

References 12 publications

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“…Other unusual causes include infective endocarditis, cocaine use, sickle cell, and connective tissue disorders [ 4 ]. The SARS-CoV2 (COVID-19) infection was also seen to cause renal infarcts possibly through mechanisms such as an increase in pro-inflammatory cytokines like tumor necrosis factor-alpha (TNF-a) and interleukin (IL)1, IL2, and IL6 [ 6 ]. Idiopathic renal infarcts should be considered in patients after other etiologies are ruled out such as risk factors for thromboembolism, disorders causing hypercoagulability, and renal vascular pathology [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Renal Artery Thrombosis Leading to Renal Infarct in a Patient With Recurrent Nephrolithiasis

Vedire¹,

Imburgio²,

Chakrabarti³

et al. 2023

Cureus

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Renal infarction is a rare entity that presents similarly to other common renal conditions such as nephrolithiasis, which can often result in a missed or delayed diagnosis. As a result, a high degree of suspicion for this diagnosis is warranted in patients presenting with flank pain. We present a patient with recurrent nephrolithiasis who presented with flank pain. A subsequent workup revealed a renal infarct due to underlying renal artery thrombosis. We also explore if there was a possible mechanism between this event and his history of recurrent nephrolithiasis.

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Section: Discussionmentioning

confidence: 99%

Renal Artery Thrombosis Leading to Renal Infarct in a Patient With Recurrent Nephrolithiasis

Vedire¹,

Imburgio²,

Chakrabarti³

et al. 2023

Cureus

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“…Many conditions predispose to renal infarction such as atrial fibrillation, atheroembolic disease, coagulopathy, trauma, renal artery dissection, malignancy, and even coronavirus disease 2019 [10,11]. A systematic review of published studies on renal infarcts by Pizzarossa and Mérola included 1,582 patients and found the following probable causes of renal infarction: cardiac or aortic embolism (45%), arterial injury (16%), coagulopathy (9%), idiopathic (18%), and other (5%).…”

Section: Discussionmentioning

confidence: 99%

Acute Renal Infarction Heralds New-Onset Paroxysmal Atrial Fibrillation

Kolachana¹,

Janvier²

2022

Cureus

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Acute renal infarcts may be asymptomatic or occur with flank pain, nausea, vomiting, or hematuria. Given the non-specific symptomatology, many acute renal infarcts are misdiagnosed or not diagnosed at all. Most are diagnosed with contrast-enhanced computed tomography. A high index of suspicion should be maintained, especially for patients with cardiovascular risk factors. A negative workup for the etiology of a renal infarction should prompt cardiac monitoring for paroxysmal atrial fibrillation because this is the primary etiology in up to one-third of cases. Treatment of atrial fibrillation reduces the risk of recurrent renal infarction as well as stroke. Early diagnosis of acute renal infarction in a select group of patients may allow for endovascular intervention to re-establish vascular patency. Here, we review the case of a 43-yearold man with no significant medical history who presented with flank pain in the setting of an acute renal infarct.

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“…Vasquez Espinosa et al [190] reported cases of renal infarction in young woman who was fully vaccinated. Rare cases of renal infarction have been reporte in asymptomatic COVID-19 infections [177]. The pathogenesis of renal infarction in COVID-19 is multifactorial and caused directly by the virus acting on the renal endothelium and indirectly by the cytokine storm, state of hypercoagulability, hemodynamic alterations, and glomerulopathy collapse [189].…”

Section: Splenic and Renal Infarctionmentioning

confidence: 99%

A Pictorial Essay Describing the CT Imaging Features of COVID-19 Cases throughout the Pandemic with a Special Focus on Lung Manifestations and Extrapulmonary Vascular Abdominal Complications

Brogna

Bignardi

Megliola³

et al. 2023

Biomedicines

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With the Omicron wave, SARS-CoV-2 infections improved, with less lung involvement and few cases of severe manifestations. In this pictorial review, there is a summary of the pathogenesis with particular focus on the interaction of the immune system and gut and lung axis in both pulmonary and extrapulmonary manifestations of COVID-19 and the computed tomography (CT) imaging features of COVID-19 pneumonia from the beginning of the pandemic, describing the typical features of COVID-19 pneumonia following the Delta variant and the atypical features appearing during the Omicron wave. There is also an outline of the typical features of COVID-19 pneumonia in cases of breakthrough infection, including secondary lung complications such as acute respiratory distress disease (ARDS), pneumomediastinum, pneumothorax, and lung pulmonary thromboembolism, which were more frequent during the first waves of the pandemic. Finally, there is a description of vascular extrapulmonary complications, including both ischemic and hemorrhagic abdominal complications.

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Renal infarction associated with asymptomatic Covid-19 infection

Cited by 12 publications

References 12 publications

Renal Artery Thrombosis Leading to Renal Infarct in a Patient With Recurrent Nephrolithiasis

Renal Artery Thrombosis Leading to Renal Infarct in a Patient With Recurrent Nephrolithiasis

Acute Renal Infarction Heralds New-Onset Paroxysmal Atrial Fibrillation

A Pictorial Essay Describing the CT Imaging Features of COVID-19 Cases throughout the Pandemic with a Special Focus on Lung Manifestations and Extrapulmonary Vascular Abdominal Complications

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