Acute Kidney Injury and Acute Pancreatitis in Patients with Chronic Hypertension and COVID-19: A Case Report

ABSTRACT

BACKGROUND: Hypertensive patients with Coronavirus Disease 2019 (COVID-19) are facing high morbidity and mortality. These morbidities include acute kidney injury (AKI) and acute pancreatitis, which have an incidence of about 17% each. Severe acute respiratory syndrome-corona virus 2 (SARS-CoV2) virus penetrates cells through the angiotensin-converting enzyme 2 (ACE2) receptor which is widely found in the respiratory tract, gastrointestinal tract, kidneys, pancreas, and other organs. The virus multiplies in the airway and then enters circulation bound to ACE2 receptors in the tissue. CASE REPORT This case report presents a chronic hypertensive patient with COVID-19 accompanied by complications of AKI and acute pancreatitis. CONCLUSION: AKI is a risk factor for death in COVID-19 patients, where kidney involvement in COVID-19 is thought to be due to direct infection with SARS-CoV2 or through other complicating conditions, where acute pancreatitis occurs due to COVID-19.