314: Peritoneal Dialysis for COVID-19-Related Acute Kidney Injury: A Case Report

Nagatomo, Mika; Yamada, Hiroyuki; Shinozuka, Ken; Tokuyama, Yuuki; Matsumoto, Noriaki; Kawai, Takao; Nakamura, Shunsuke; Tarumoto, Koji; Kakuda, Youhei; Minami, Takuma; Inoue, Kyo; Tsutsumi, Toshio; Takatani, Yudai; Okuno, Yoshinori; Jingami, Naoto; Furutake, Tatsuya; Shimoto, Manabu; Cho, Kosai; Yunoki, Tomoyuki; Ohtsuru, Shigeru

doi:10.1097/01.ccm.0000727144.24273.68

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“…Since heart failure dramatically worsens and requires urgent care, it is important to confirm heart failure associated with COVID-19 and begin individualized treatment, including diuretics or dialysis [7]. Although several cases of urgent peritoneal dialysis for acute kidney injury and heart failure induced by COVID-19 have been reported, there have been only a few case reports of heart failure caused by COVID-19 in maintenance PD patients to date [8,9]. Jiang et al recently reported an observational study in PD patients during the COVID-19 outbreak.…”

Section: Discussionmentioning

confidence: 99%

Two episodes of acute dyspnea that were induced by COVID-19 in a peritoneal dialysis patient

et al. 2021

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Dialysis patients have an increased risk of coronavirus disease 2019 (COVID-19)-related mortality. Acute heart failure is a frequent, lethal complication of COVID-19, and it is a risk factor for mortality in hemodialysis patients. Therefore, it is crucial to rapidly distinguish heart failure from COVID-19 pneumonia. Here, we report a case of two episodes of acute dyspnea that were induced by COVID-19 in a peritoneal dialysis (PD) patient. The first episode of acute dyspnea was an exacerbation of heart failure caused by COVID-19 when the patient had a volume overload status due to a peritoneal dialysis catheter malfunction. Heart failure induced by a catheter malfunction was due to omental wrapping, and it was treated with ultrafiltration by hemodialysis and mini-laparotomy. The patient's acute dyspnea was immediately resolved. The second episode of acute dyspnea was caused by COVID-19 pneumonia, which occurred 1 week after the first episode. This case suggests the importance of identifying heart failure and beginning adequate treatment, in COVID-19 patients with PD.

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Section: Discussionmentioning

confidence: 99%