Clinical and paraclinical particularities of renal involvement in SARS-COV-2 infection
Keywords:
COVID-19, SARS-CoV2, kidney damageAbstract
COVID-19 is a respiratory disease caused by a novel coronavirus with serious multisystem complications. The purpose of publication is highlighting the clinical characteristics of patients with SARS-CoV2 with or without renal pathology. A retrospective and descriptive study of 60 patients (average age 57.02 years) with the new type Coronavirus (COVID-19) infection. The patients were selected from the Nephrology department of Timofei Moșneaga Republican Clinical Hospital hospitalized between March 2021 and August 2022. The clinical, paraclinical and treatment data were examined. Distribution by age: men 40-59 years – 12 (40%), 18-39 years – 2 (6.66%); women between the ages of 40-59 and corresponds to men, but the rarest – after the age of 70 5 (16.6 %). In women – tubule-interstitial nephropathy - 8 (26.6%), glomerular nephropathy - 3 (10%), kidney stones - 6 (20%); from men – tubule-interstitial nephropathies - 3 (10%), glomerular nephropathies - 4 (13.3%), kidney stones - 9 (30%). Fatal cases were found in the following age groups: 40-59 years – 4 men (13.3%) and 5 women (16.6%), between 60-69 years – 3 men (10%) and 1 woman (3.33%); >70 years – 5 men (16.6%) and 4 women (13.3%). Renal damage was quite frequent in severe pneumonia with COVID-19, which was associated with typical complications, which was associated with mortality in the presence of risk factors. These are advanced age, metabolic syndrome, arterial hypertension. Kidney damage was quite common in severe pneumonia with COVID-19, which was associated with typical complications, and higher mortality, especially in the presence of risk factors, among which were advanced age, metabolic syndrome, arterial hypertension.
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