Glomerulopatía colapsante en un paciente con Covid-19. Reporte de caso / Collapsing glomerulonephritis in a COVID-19 patient. Case report
Rev. méd. hered
;
34(1): 27-31, ene. - mar. 2023. ilus
Artigo
em Espanhol
| LILACS, LIPECS
| ID: biblio-1442073
RESUMEN
La injuria renal aguda por glomerulopatía colapsante, presenta alta morbimortalidad, incluso con requerimiento de diálisis crónica; la Covid-19 es una de sus causas. Se presenta el caso de un paciente con Covid-19 y glomerulopatía colapsante. Varón de 17 años, sin antecedentes patológicos; con historia de cuatro meses de edema, orina espumosa y disminución del flujo urinario. Al examen anasarca. Exámenes creatinina 4,2 mg/dl, albumina 1,9 gr/dl, colesterol y triglicéridos aumentados; orina proteinuria 6,7 gr/24h, leucocituria y hematuria con urocultivo negativo. Serología para VIH, sífilis y hepatitis negativos. Inmunología para lupus negativa, prueba rápida para la Covid-19 IgG (+). La biopsia renal mostró Glomeruloesclerosis Focal y Segmentaria, variante Colapsante. Recibió corticoides y ciclosporina. La creatinina mejoró, la proteinuria se mantiene >3 gr/24horas.
ABSTRACT
SUMMARY Acute renal injury due to collapsing glomerulonephritis is associated with high morbidity and mortality, requiring chronic dialysis, COVID-19 is one of its causes. A 17-year-old male patient presented with a four-month history of edema, foamy urine and reduction in the urine flow; anasarca was observed at physical examination. Laboratory values showed creatinine 4,2 mg/dl; albumin 1,9 gr/dl; cholesterol and triglycerides were high; proteinuria 6,7 gr/24h leucocyturia and hematuria with negative urine culture. Serologies for HIV, syphilis and hepatitis were negative. Studies for systemic lupus were negative. An antigenic test for SARS-CoV-2 was positive as well as an IgG. Renal Biopsy showed Focal and Segmental Glomerulosclerosis, Collapsing variant. He received corticosteroids and cyclosporine. Creatinine improved; proteinuria remained >3 gr/24 hours.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Glomerulosclerose Segmentar e Focal
/
Edema
/
Injúria Renal Aguda
Limite:
Adolescente
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Rev. méd. hered
Ano de publicação:
2023
Tipo de documento:
Artigo
Instituição/País de afiliação:
Hospital Nacional Daniel Alcides Carrión/PE
/
Laboratorios Integrados/PE
/
Universidad Nacional Mayor de San Marcos/PE
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