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Two episodes of acute dyspnea that were induced by COVID-19 in a peritoneal dialysis patient
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 CO...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Singapore
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8284031/ https://www.ncbi.nlm.nih.gov/pubmed/34269997 http://dx.doi.org/10.1007/s13730-021-00629-3 |
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author | Toda, Naohiro Takeoka, Jun Tanigaki, Katsuya Hirashima, Hisako Fujita, Masaaki Komiya, Toshiyuki |
author_facet | Toda, Naohiro Takeoka, Jun Tanigaki, Katsuya Hirashima, Hisako Fujita, Masaaki Komiya, Toshiyuki |
author_sort | Toda, Naohiro |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8284031 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Singapore |
record_format | MEDLINE/PubMed |
spelling | pubmed-82840312021-07-19 Two episodes of acute dyspnea that were induced by COVID-19 in a peritoneal dialysis patient Toda, Naohiro Takeoka, Jun Tanigaki, Katsuya Hirashima, Hisako Fujita, Masaaki Komiya, Toshiyuki CEN Case Rep Case Report 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. Springer Singapore 2021-07-16 /pmc/articles/PMC8284031/ /pubmed/34269997 http://dx.doi.org/10.1007/s13730-021-00629-3 Text en © Japanese Society of Nephrology 2021 |
spellingShingle | Case Report Toda, Naohiro Takeoka, Jun Tanigaki, Katsuya Hirashima, Hisako Fujita, Masaaki Komiya, Toshiyuki Two episodes of acute dyspnea that were induced by COVID-19 in a peritoneal dialysis patient |
title | Two episodes of acute dyspnea that were induced by COVID-19 in a peritoneal dialysis patient |
title_full | Two episodes of acute dyspnea that were induced by COVID-19 in a peritoneal dialysis patient |
title_fullStr | Two episodes of acute dyspnea that were induced by COVID-19 in a peritoneal dialysis patient |
title_full_unstemmed | Two episodes of acute dyspnea that were induced by COVID-19 in a peritoneal dialysis patient |
title_short | Two episodes of acute dyspnea that were induced by COVID-19 in a peritoneal dialysis patient |
title_sort | two episodes of acute dyspnea that were induced by covid-19 in a peritoneal dialysis patient |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8284031/ https://www.ncbi.nlm.nih.gov/pubmed/34269997 http://dx.doi.org/10.1007/s13730-021-00629-3 |
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