COVID-19 and Severe Rhabdomyolysis Causing Acute Kidney Injury and Life-Threatening Hyperkalemia in a Pediatric Patient: a Case Report.
| dc.contributor.author | Geeting, Danielle | |
| dc.contributor.author | Alibrahim, Omar | |
| dc.contributor.author | Patel, Mital | |
| dc.contributor.author | Kumar, Reeti | |
| dc.contributor.author | Mallory, Palen | |
| dc.date.accessioned | 2023-05-01T14:20:21Z | |
| dc.date.available | 2023-05-01T14:20:21Z | |
| dc.date.issued | 2023-01 | |
| dc.date.updated | 2023-05-01T14:20:20Z | |
| dc.description.abstract | Though initially believed to primarily be a respiratory pathogen, the SARS-CoV-2 virus has manifested as a virus that has the potential to affect multiple organ systems causing a wide variety of disease and symptomatology. Children have been largely spared in comparison to adult morbidity and mortality; however, acute pediatric illness secondary to COVID-19 infection has become both more common and more serious. Here, we present a teenager with acute COVID-19 who presented to the hospital with profound weakness and oliguria and was discovered to have severe rhabdomyolysis causing life-threatening hyperkalemia and acute kidney injury. He required treatment with emergent renal replacement therapy in the intensive care unit. His initial CK was 584,886 U/L. Creatinine was 14.1 mg/dL and potassium was 9.9 mmol/L. He was successfully treated with CRRT and was discharged on hospital day 13 with normal kidney function on follow-up. Rhabdomyolysis and acute kidney injury are increasingly recognized as complications of acute SARS-CoV-2 infection and require vigilance given the potentially fatal complications and long-standing morbidity associated with these conditions. | |
| dc.identifier | 1453 | |
| dc.identifier.issn | 2523-8973 | |
| dc.identifier.issn | 2523-8973 | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.publisher | Springer Science and Business Media LLC | |
| dc.relation.ispartof | SN comprehensive clinical medicine | |
| dc.relation.isversionof | 10.1007/s42399-023-01453-9 | |
| dc.subject | Acute kidney injury | |
| dc.subject | COVID-19 | |
| dc.subject | CRRT | |
| dc.subject | Case report | |
| dc.subject | Pediatric | |
| dc.subject | Rhabdomyolysis | |
| dc.title | COVID-19 and Severe Rhabdomyolysis Causing Acute Kidney Injury and Life-Threatening Hyperkalemia in a Pediatric Patient: a Case Report. | |
| dc.type | Journal article | |
| pubs.begin-page | 121 | |
| pubs.issue | 1 | |
| pubs.organisational-group | Duke | |
| pubs.organisational-group | School of Medicine | |
| pubs.organisational-group | Clinical Science Departments | |
| pubs.organisational-group | Pediatrics | |
| pubs.organisational-group | Pediatrics, Critical Care Medicine | |
| pubs.publication-status | Published | |
| pubs.volume | 5 |
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