부산대학교 도서관

Introduction. The ongoing pandemic with the novel Corona virus poses unprecented challenges for the medical professionals worldwide. Acute kidney injury is frequently seen in patients infected with corona virus and often associated with a poor patient outcome. Rhabdomyolysis has been recognized as one of the possible contributing mechanisms. Case. A 68-year-old man was referred to the emergency department complaining of a dry cough, myalgia, general weakness with devastated energy feeling, chest pain and difficulties in breathing, symptoms he experienced in the past five days. He also noticed that his urine was dark and in reduced amount. Quick antigen test for SARS CoV2 was performed, and the patient found Covid-19 positive. He was admitted at the hospital ward in a covid-designated unit. Laboratory findings revealed elevation of the inflammatory markers and electrolyte disbalance. Metabolic degradation products were markedly increased, serum urea was 44mmol/L (RF=2.7- 7.8 mmol/L) and serum creatinine 689umol/L (RF=45- 109umol/L), when deterioration of the kidney function was diagnosed. Urgent intermittent hemodialysis treatment was initiated. Patient suffered from a severe form of covid-19 pneumonia and was continuously on high flow oxygen mask. Duration of the patient hospitalization was 30 days, and thereafter, he was transferred to the rehabilitation center for 28 days. Complete restoration of the physical motion and activity was accomplished, oxygen support was no longer needed, since he maintained blood oxygen saturation above 95%. Renal function has also been recovered with degradation products maintained within normal ranges. Conclusion. Rhabdomyolysis in covid-19 patients should be always kept in mind. Sometimes it can be an initial clinical manifestation in covid-19 patients [15], but on the other hand it can be presented as a late complication sometimes caused by the therapy itself. Multidisciplinary and comprehensive approach in the diagnosis, treatment and follow up of the patients can only guarantee timely detection and wide range of therapeutical modality, leading to a better prognosis and outcome. [ABSTRACT FROM AUTHOR]