Coronavirus Disease 2019 in a Hemodialysis Patient
Author(s) -
Hai Yuan,
Ensong Guo,
Zhao Gao,
Fengqi Hu,
Li Lu
Publication year - 2020
Publication title -
blood purification
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 57
eISSN - 1421-9735
pISSN - 0253-5068
DOI - 10.1159/000507877
Subject(s) - hemodialysis , medicine , covid-19 , outbreak , coronavirus , mechanical ventilation , disease , intensive care medicine , dialysis , respiratory failure , lung , virology , infectious disease (medical specialty)
There has been a global outbreak of the coronavirus disease 2019 (COVID-19) since December 2019. Here, we describe the case of a 49-year-old male undergoing maintenance hemodialysis (HD) who got infected with COVID-19 and our experience in performing HD for him. The patient’s symptoms and lung imaging changes were atypical. However, his lymphocyte range decreased upon admission and the polymerase chain reaction of the pharyngeal swab for the COVID-19 nucleic acid was positive. The patient developed respiratory failure and required mechanical ventilation 8 days after admission. In the end, he died from multiple organ dysfunction syndrome. The difficulties in diagnosis, infection control, and treatment of COVID-19 in maintenance HD patients are discussed in this report.
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