Ineffectiveness of Intermittent Hemodialysis in a Critically Ill COVID-19 Patient: A Case of Persistent Heparin-Induced Hyperkalemia

Heparin is widely used in the intensive care unit despite the risk of bleeding it can cause. Although it is rarely reported, hyperkalemia is one of the side effects associated with heparin therapy (unfractionated or fractionated heparin). It would be secondary to hypoaldosteronism by blocking the bi...

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Autores principales: Nlandu, Yannick M., Engole, Yannick M., Mboliassa, Marie-France I., Sakaji, Théodore-Junior M., Kobo, Patrick U., Boloko, Patrick M., Mafuta, Pally K., Tsangu, Joseph P., Van Echkout, Karel, Kanku, Jean-Pierre M., Kalifa, Golan, Ahmed, Rodolphe, Bukabau, Justine B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8916869/
https://www.ncbi.nlm.nih.gov/pubmed/35284145
http://dx.doi.org/10.1155/2022/8613656
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author Nlandu, Yannick M.
Engole, Yannick M.
Mboliassa, Marie-France I.
Sakaji, Théodore-Junior M.
Kobo, Patrick U.
Boloko, Patrick M.
Mafuta, Pally K.
Tsangu, Joseph P.
Van Echkout, Karel
Kanku, Jean-Pierre M.
Kalifa, Golan
Ahmed, Rodolphe
Bukabau, Justine B.
author_facet Nlandu, Yannick M.
Engole, Yannick M.
Mboliassa, Marie-France I.
Sakaji, Théodore-Junior M.
Kobo, Patrick U.
Boloko, Patrick M.
Mafuta, Pally K.
Tsangu, Joseph P.
Van Echkout, Karel
Kanku, Jean-Pierre M.
Kalifa, Golan
Ahmed, Rodolphe
Bukabau, Justine B.
author_sort Nlandu, Yannick M.
collection PubMed
description Heparin is widely used in the intensive care unit despite the risk of bleeding it can cause. Although it is rarely reported, hyperkalemia is one of the side effects associated with heparin therapy (unfractionated or fractionated heparin). It would be secondary to hypoaldosteronism by blocking the biosynthesis of aldosterone in the adrenal gland and often appears in context of prolonged heparin therapy or inappropriate renin production in elderly, diabetic, and kidney insufficiency patients. We report a case of persistent hyperkalemia in a diabetic COVID-19 patient treated with curative heparin in the context of severe COVID-19.
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spelling pubmed-89168692022-03-12 Ineffectiveness of Intermittent Hemodialysis in a Critically Ill COVID-19 Patient: A Case of Persistent Heparin-Induced Hyperkalemia Nlandu, Yannick M. Engole, Yannick M. Mboliassa, Marie-France I. Sakaji, Théodore-Junior M. Kobo, Patrick U. Boloko, Patrick M. Mafuta, Pally K. Tsangu, Joseph P. Van Echkout, Karel Kanku, Jean-Pierre M. Kalifa, Golan Ahmed, Rodolphe Bukabau, Justine B. Case Rep Nephrol Case Report Heparin is widely used in the intensive care unit despite the risk of bleeding it can cause. Although it is rarely reported, hyperkalemia is one of the side effects associated with heparin therapy (unfractionated or fractionated heparin). It would be secondary to hypoaldosteronism by blocking the biosynthesis of aldosterone in the adrenal gland and often appears in context of prolonged heparin therapy or inappropriate renin production in elderly, diabetic, and kidney insufficiency patients. We report a case of persistent hyperkalemia in a diabetic COVID-19 patient treated with curative heparin in the context of severe COVID-19. Hindawi 2022-03-04 /pmc/articles/PMC8916869/ /pubmed/35284145 http://dx.doi.org/10.1155/2022/8613656 Text en Copyright © 2022 Yannick M. Nlandu et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Nlandu, Yannick M.
Engole, Yannick M.
Mboliassa, Marie-France I.
Sakaji, Théodore-Junior M.
Kobo, Patrick U.
Boloko, Patrick M.
Mafuta, Pally K.
Tsangu, Joseph P.
Van Echkout, Karel
Kanku, Jean-Pierre M.
Kalifa, Golan
Ahmed, Rodolphe
Bukabau, Justine B.
Ineffectiveness of Intermittent Hemodialysis in a Critically Ill COVID-19 Patient: A Case of Persistent Heparin-Induced Hyperkalemia
title Ineffectiveness of Intermittent Hemodialysis in a Critically Ill COVID-19 Patient: A Case of Persistent Heparin-Induced Hyperkalemia
title_full Ineffectiveness of Intermittent Hemodialysis in a Critically Ill COVID-19 Patient: A Case of Persistent Heparin-Induced Hyperkalemia
title_fullStr Ineffectiveness of Intermittent Hemodialysis in a Critically Ill COVID-19 Patient: A Case of Persistent Heparin-Induced Hyperkalemia
title_full_unstemmed Ineffectiveness of Intermittent Hemodialysis in a Critically Ill COVID-19 Patient: A Case of Persistent Heparin-Induced Hyperkalemia
title_short Ineffectiveness of Intermittent Hemodialysis in a Critically Ill COVID-19 Patient: A Case of Persistent Heparin-Induced Hyperkalemia
title_sort ineffectiveness of intermittent hemodialysis in a critically ill covid-19 patient: a case of persistent heparin-induced hyperkalemia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8916869/
https://www.ncbi.nlm.nih.gov/pubmed/35284145
http://dx.doi.org/10.1155/2022/8613656
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