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The first case of COVID-19 pneumonia in a hemodialysis patient in Japan
On 31 December 2019, cases of pneumonia whose cause was later identified as SARS-CoV-2 were detected in Wuhan City, Hubei Province of China, and now COVID-19 has spread worldwide. On March 1, 2020, a 69-year-old Japanese man who had been on hemodialysis for 3 years was diagnosed as having COVID-19 p...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Singapore
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7300373/ https://www.ncbi.nlm.nih.gov/pubmed/32557209 http://dx.doi.org/10.1007/s13730-020-00495-5 |
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author | Kuroki, Yusuke Hiyama, Kazutoshi Minami, Junya Takeuchi, Miyoshi Shojima, Masumi Matsueda, Shumei Nagae, Hiroshi Nakano, Toshiaki |
author_facet | Kuroki, Yusuke Hiyama, Kazutoshi Minami, Junya Takeuchi, Miyoshi Shojima, Masumi Matsueda, Shumei Nagae, Hiroshi Nakano, Toshiaki |
author_sort | Kuroki, Yusuke |
collection | PubMed |
description | On 31 December 2019, cases of pneumonia whose cause was later identified as SARS-CoV-2 were detected in Wuhan City, Hubei Province of China, and now COVID-19 has spread worldwide. On March 1, 2020, a 69-year-old Japanese man who had been on hemodialysis for 3 years was diagnosed as having COVID-19 pneumonia and hospitalized at our Medical Center. Pulmonary CT revealed bilateral multiple consolidation with bilateral pleural effusion. Aggressive weight reduction was needed to improve the patient’s respiratory condition. Hemodialysis therapy was performed in isolation with hydroxychloroquine administration, but the formation of a dialysis membrane clot forced the withdrawal of dialysis therapy. Changing the dialysis membrane material and anticoagulant enabled the resumption of dialysis therapy, allowing the body weight to correct downward. On the 5th hospitalization day, the patient’s fever dropped and he showed improved oxygenation and chest X-ray. He was eventually discharged. The hydroxychloroquine and appropriate fluid management may have contributed to the patient’s recovery. Clinicians should pay close attention to avoid dialysis-related problems when treating a patient with COVID-19. |
format | Online Article Text |
id | pubmed-7300373 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Singapore |
record_format | MEDLINE/PubMed |
spelling | pubmed-73003732020-06-18 The first case of COVID-19 pneumonia in a hemodialysis patient in Japan Kuroki, Yusuke Hiyama, Kazutoshi Minami, Junya Takeuchi, Miyoshi Shojima, Masumi Matsueda, Shumei Nagae, Hiroshi Nakano, Toshiaki CEN Case Rep Case Report On 31 December 2019, cases of pneumonia whose cause was later identified as SARS-CoV-2 were detected in Wuhan City, Hubei Province of China, and now COVID-19 has spread worldwide. On March 1, 2020, a 69-year-old Japanese man who had been on hemodialysis for 3 years was diagnosed as having COVID-19 pneumonia and hospitalized at our Medical Center. Pulmonary CT revealed bilateral multiple consolidation with bilateral pleural effusion. Aggressive weight reduction was needed to improve the patient’s respiratory condition. Hemodialysis therapy was performed in isolation with hydroxychloroquine administration, but the formation of a dialysis membrane clot forced the withdrawal of dialysis therapy. Changing the dialysis membrane material and anticoagulant enabled the resumption of dialysis therapy, allowing the body weight to correct downward. On the 5th hospitalization day, the patient’s fever dropped and he showed improved oxygenation and chest X-ray. He was eventually discharged. The hydroxychloroquine and appropriate fluid management may have contributed to the patient’s recovery. Clinicians should pay close attention to avoid dialysis-related problems when treating a patient with COVID-19. Springer Singapore 2020-06-18 /pmc/articles/PMC7300373/ /pubmed/32557209 http://dx.doi.org/10.1007/s13730-020-00495-5 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Case Report Kuroki, Yusuke Hiyama, Kazutoshi Minami, Junya Takeuchi, Miyoshi Shojima, Masumi Matsueda, Shumei Nagae, Hiroshi Nakano, Toshiaki The first case of COVID-19 pneumonia in a hemodialysis patient in Japan |
title | The first case of COVID-19 pneumonia in a hemodialysis patient in Japan |
title_full | The first case of COVID-19 pneumonia in a hemodialysis patient in Japan |
title_fullStr | The first case of COVID-19 pneumonia in a hemodialysis patient in Japan |
title_full_unstemmed | The first case of COVID-19 pneumonia in a hemodialysis patient in Japan |
title_short | The first case of COVID-19 pneumonia in a hemodialysis patient in Japan |
title_sort | first case of covid-19 pneumonia in a hemodialysis patient in japan |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7300373/ https://www.ncbi.nlm.nih.gov/pubmed/32557209 http://dx.doi.org/10.1007/s13730-020-00495-5 |
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