Challenge in diagnosis of COVID-19 in hemodialysis patient: a case report and brief review of the literature.
CEN Case Rep
; 10(3): 341-347, 2021 08.
Article
in English
| MEDLINE | ID: covidwho-1032802
ABSTRACT
Diagnosis of COVID-19 in end-stage kidney disease (ESKD) patients on hemodialysis is challenging, as the symptoms are often atypical. Herein, we reported a confimed case of COVID-19 in a patient on maintenance hemodialysis. A 38-year-old man with ESKD on regular hemodialysis initially presented with progressive shortness of breath and dry cough, without fever. He had lymphopenia, and chest X-ray suggested pulmonary edema with cardiomegaly and suspected bilateral bronchopneumonia. The patient clinically improved after 7 days of hospitalization, and was subsequently discharged from hospital. Ten days after being discharged, the patient was re-admitted with progressive shortness of breath and dry cough, without fever. SARS-CoV-2 infection was later confirmed by a qualitative RT-PCR test and the diagnosis COVID-19 pneumonia was established. We presented a case of atypical presentation of COVID-19 in an ESKD patient on maintenance hemodialysis with a brief review of the current literature.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Renal Dialysis
/
COVID-19
/
Kidney Failure, Chronic
Type of study:
Case report
/
Diagnostic study
/
Prognostic study
/
Qualitative research
Topics:
Long Covid
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
CEN Case Rep
Year:
2021
Document Type:
Article
Affiliation country:
S13730-020-00571-w
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