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RESUMEN Objetivo: Determinar la prevalencia, características clínicas y evolución de los pacientes y personal asistencial con infección por COVID-19 en un centro de hemodiálisis de referencia nacional. Metodología: Estudio observacional y retrospectivo en una cohorte de pacientes en hemodiálisis crónicay del personal asistencial con infección por COVID-19 del Hospital Nacional Dos de Mayo de Lima desde el 1° de marzo al 12 de junio del 2020. Resultados:Se evaluó a 48 pacientes y a 52 miembros del personal asistencial. El 33,3% de los pacientes y el 7,6% del personal asistencial fue positivo para COVID-19. El 56,2% de los pacientes fueron sintomáticos y el 18,7% requirió hospitalización. Nadie del personal asistencial tuvo síntomas. A la fecha, ninguno de los pacientes evaluados ha requerido ventilación mecánica o ha fallecido.Conclusiones: La infección por COVID-19 entre pacientes es alta. Dos de cada diez han requerido hospitalización, sin ningún fallecido.
ABSTRACT Objective: To determine the prevalence, clinical characteristics, and evolution of the patients and healthcare staff with COVID-19 infection in a national reference hemodialysis center.Methodology. Observational and retrospective study in a cohort of patients on chronic hemodialysis and healthcare staff with COVID-19 infection at the Dos de Mayo National Hospital in Lima from March 1 to June 12, 2020. Results. Were evaluated 48 patients and 52 healthcare staff. Were positive for COVID-19 33.3% of patients and 7.6% of healthcare staff. Were symptomatic 56.2% of the patients and 18.7% required hospitalization. No one on the staff had symptoms. To date, none of the patients evaluated has required mechanical ventilation or has died. Conclusions. COVID-19 infection among patients is high. Two out of ten patients have required hospitalization, without any deceased.
RESUMO
Abstract Thromboembolic events are frequent in patients with COVID-19 infection, and no cases of bilateral renal infarctions have been reported. We present the case of a 41-year-old female patient with diabetes mellitus and obesity who attended the emergency department for low back pain, respiratory failure associated with COVID-19 pneumonia, diabetic ketoacidosis, and shock. The patient had acute kidney injury and required hemodialysis. Contrast abdominal tomography showed bilateral renal infarction and anticoagulation was started. Kidney infarction cases require high diagnostic suspicion and possibility of starting anticoagulation.
Resumo Fenômenos tromboembólicos são frequentes em pacientes com infecção por COVID-19 e nenhum caso de infarto renal bilateral havia sido relatado. Apresentamos o caso de uma paciente do sexo feminino, de 41 anos, com diabetes mellitus e obesidade, que deu entrada no serviço de urgência por lombalgia, insuficiência respiratória associada à pneumonia COVID-19, cetoacidose diabética e choque. A paciente apresentava lesão renal aguda e demandava hemodiálise. A tomografia abdominal contrastada mostrou infarto renal bilateral e foi iniciada anticoagulação. Os casos de infarto renal requerem alta suspeita diagnóstica e possibilidade de iniciar a anticoagulação.