Kidneys

Incidence

Prevalence in

Age: Old age

Sex: Male

Disease: Diabetes, Heart failure

Pathology

Exact not known

In some researches it has been found that virus have direct effects and indirect effects

In direct effect it acts on kidney’s tubular and endothelial cells

Indirect effect is by doing restrictive fluid strategy it induces cytokine release and kidney hypo-perfusion

Pathological finding:

Acute tubular necrosis

Presentation

  • Oliguria (3rd day)
  • Anuria (4th day)
  • Rhabdomyolysis
  • Metabolic acidosis
  • Hyperkaliemia
  • Acute kidney injury associated with respiratory failure
  • Acute Kidney Injury with cold feet and hands with mottled skin and dry necrosis of three toes (4) (found in 1 patient)

Investigation

  • Interluckin-6
  • Cytokine
  • Serum Creatinine
  • Serum LDH (Lactate dehydrogenase)
  • CT scan- Multiple wedge shaped kidney infarctions

Sources