Department of Medicine, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.
Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria.
West Afr J Med. 2021 Mar 22;38(3):292-296.
COVID-19 infection predominantly affects the respiratory system; however, other systems and organs are also affected. The kidneys are among the organs commonly affected by SARS-CoV-2 and this has been reported to be a predictor of increased severity, need for intensive care (ICU), admission, and death. We presented two cases of COVID-19 that were associated with co-morbidities that include diabetes mellitus, systemic hypertension and impaired kidney function. The relationship of the multiple co-morbidities particularly the impaired kidney function with the outcomes of COVID-19 infection and the challenges of offering dialysis for patients with COVID-19 infection with kidney failure were discussed. The two cases presented also highlighted the state of preparedness for the management of COVID-19 and its various complications and co-morbidities, particularly kidney failure in a tertiary hospital in Nigeria at onset of the COVID-19 outbreak.
新型冠状病毒（SARS-CoV-2）感染主要影响呼吸系统，但其他系统和器官也会受到影响。肾脏是受 SARS-CoV-2 影响的常见器官之一，有报道称这是病情加重、需要重症监护（ICU）、住院和死亡的预测因素。我们报告了两例 COVID-19 病例，这些病例与合并症有关，包括糖尿病、系统性高血压和肾功能受损。我们讨论了多种合并症，特别是肾功能受损与 COVID-19 感染结果之间的关系，以及为 COVID-19 感染合并肾衰竭的患者提供透析的挑战。所报告的两个病例还强调了尼日利亚一家三级医院在 COVID-19 爆发时对 COVID-19 及其各种并发症和合并症（特别是肾衰竭）的管理的准备状态。
