Shrestha Sanjivani, Bandaru Sumanth K, Michael Siu Man K, Malvica Silvia, Cabacar Joselito
Department of Nephrology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Department of Internal Medicine, MedStar Health, Baltimore, MD, USA.
J Community Hosp Intern Med Perspect. 2024 Jul 2;14(4):53-56. doi: 10.55729/2000-9666.1370. eCollection 2024.
We present a case of a 73-year-old African American lady with COVID-19 infection who developed acute Kidney Injury (AKI) and significant proteinuria. Renal biopsy showed IgA nephropathy. Patient was eventually diagnosed with IgA nephropathy secondary to COVID Infection. This unique case highlights the complexity of renal involvement in COVID-19. Notably, the onset of IgA nephropathy in the patient occurred several weeks after her COVID-19 diagnosis, deviating from the typical synpharyngitic presentation. This article contributes to the growing body of evidence regarding renal complications associated with COVID-19 and highlights the need for vigilance in assessing and managing renal conditions in COVID-19 patients, especially when atypical presentations occur.
我们报告了一例73岁的非裔美国女性新冠肺炎感染病例,该患者出现了急性肾损伤(AKI)和大量蛋白尿。肾活检显示为IgA肾病。患者最终被诊断为继发于新冠感染的IgA肾病。这一独特病例凸显了新冠病毒感染时肾脏受累的复杂性。值得注意的是,该患者IgA肾病的发病是在其新冠肺炎确诊数周后,与典型的咽炎伴发表现不同。本文为有关新冠病毒相关肾脏并发症的不断增加的证据做出了贡献,并强调在评估和管理新冠肺炎患者的肾脏疾病时需要保持警惕,尤其是当出现非典型表现时。