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Coronavirus disease-2019 and the kidneys: A tragedy of reciprocal damage and management challenges


1 Department of Chest Diseases, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt; Department of Respiratory Therapy, College of Medical Rehabilitation Sciences, Taibah University, Medina, Saudi Arabia
2 Department of Internal Medicine, Nephrology Unit, Faculty of Medicine, Al-Azhar University, Damietta, Egypt
3 Department of Chest Diseases, Faculty of Medicine, Al-Azhar University, Damietta, Egypt
4 Department of Chemistry, Biochemistry Unit, Faculty of Science, Damanhour University, Damanhour, Egypt
5 Department of Chemistry/Biochemistry, Faculty of Science, Cairo University, Cairo, Egypt
6 Department of Family and Community Medicine, College of Medicine, Taibah University, Medina, Saudi Arabia
7 Department of Medical Laboratory Technology, Faculty of Applied Medical Sciences; Department of Medical Technology, Molecular Diagnostic Lab, King Abdulaziz University Hospital, King Abdulaziz University, Jeddah, Saudi Arabia

Correspondence Address:
Eman Sobh,
Department of Chest Diseases, Faculty of Medicine for Girls, Al-Azhar University, Cairo

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmedsci.jmedsci_150_21

Coronavirus disease 2019 (COVID-19) has been reported to affect nearly all body systems. Kidney affection has been observed in several studies. The effect of COVID-19 on renal function is beyond that occurring in pneumonia or severe respiratory distress cases. Renal affection is attributed to several factors, including the mechanism of viral injury. Patients with preexisting kidney injury are at increased risk of infection. Early detection and management are crucial to avoid morbidity and mortality, prevent the spread and contamination of hemodialysis Units. Early detection and treatment of kidney involvement in COVID-19 are vital to avoid increased morbidity and mortality. Proper selection of drugs and fluid management is vital in cases with kidney involvement. This review aims to discuss the clinical and pathophysiological affection of the kidney in COVID-19.


 

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    -  Sobh E
    -  Al-Adl AS
    -  Awadallah MF
    -  Abdelsalam KG
    -  Awad SS
    -  Surrati AM
    -  Alhadrami HA
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