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Revista médica de Chile · Apr 2021
Case Reports[Acute kidney injury caused by rhabdomyolysis as a SARS-CoV-2 infection manifestation. Report of one case].
- Javier Pérez, Sebastián Sánchez, SepúlvedaRodrigo ARADepartamento de Nefrología, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile., Magdalena Vera, Pablo Mery, Bernardita Garayar, and Roberto Jalil.
- Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
- Rev Med Chil. 2021 Apr 1; 149 (4): 641-647.
AbstractSARS-CoV-2 infection has a wide spectrum of clinical manifestations secondary to the impairment of different organs, including kidney. Rhabdomyolysis is produced by disintegration of striated muscle and the liberation of its contents to the extracellular fluid and bloodstream. This may produce hydro electrolytic disorders and acute kidney injury. We report a 35-year-old female with a history of SARS-CoV-2 infection who was hospitalized because of respiratory failure and developed renal failure. The etiologic study showed elevated total creatine kinase levels and a magnetic resonance imaging confirmed rhabdomyolysis. The patient required supportive treatment with vasoactive drugs, mechanic ventilation and kidney replacement therapy. She had a favorable evolution with resolution of respiratory failure and improvement of kidney function.
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