儿童患者 COVID-19 相关肾病综合征的发病：巧合还是相关疾病？
COVID-19 associated with onset nephrotic syndrome in a pediatric patient: coincidence or related conditions?
机构信息
General Hospital, Ecuatorian Institute of Social Security, IESS, Quito, Ecuador.
University of Carabobo, Valencia, Venezuela.
出版信息
Pediatr Nephrol. 2021 Jan;36(1):205-207. doi: 10.1007/s00467-020-04724-y. Epub 2020 Aug 27.
Abstract
BACKGROUND
COVID-19 is less frequent in children than in adults and affects the former less severely; despite the fact that respiratory symptoms are the most frequent, in some cases unusual manifestations can be seen.
CASE-DIAGNOSIS: We present a 15-year-old boy who tested positive for SARS-COV-2 infection and onset of nephrotic syndrome, without antecedent of kidney disease and who had normal urine tests shortly before being affected by COVID-19.
CONCLUSIONS
The patient described in this report, who was admitted due to nephrotic syndrome and respiratory syndrome, tested positive for COVID-19. He, based on the data review by the researchers, is the first reported case of COVID-19 with simultaneous onset of complete picture of nephrotic syndrome. The presence of both diagnoses could be a coincidence or an unusual form of presentation of COVID-19.
摘要
背景
COVID-19 在儿童中的发病率低于成人，且病情较轻；尽管呼吸道症状最为常见，但在某些情况下也可能出现不常见的表现。
病例诊断
我们报告了一例 15 岁男孩，他 SARS-COV-2 感染检测呈阳性，同时出现肾病综合征，此前无肾脏疾病，在 COVID-19 发病前尿液检查正常。
结论
本报告中描述的患者因肾病综合征和呼吸道综合征入院，COVID-19 检测呈阳性。根据研究人员的数据分析，他是首例同时出现完全肾病综合征表现的 COVID-19 报告病例。这两种诊断的同时出现可能是巧合，也可能是 COVID-19 的一种不常见表现形式。
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