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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...

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Autores principales: Toda, Naohiro, Takeoka, Jun, Tanigaki, Katsuya, Hirashima, Hisako, Fujita, Masaaki, Komiya, Toshiyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Singapore 2021
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.
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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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