TITLE:
COVID-19 Disease Complicated with Severe Pneumonia in a Patient with End Stage Renal Disease (ESRD): A Case Report from Bangladesh
AUTHORS:
Md. Reaz Uddin Chowdhury, Kazi Shanzida Akter, Muhammad Zahangir Alam, Muhammad Anwarul Kabir, Sahedul Islam Bhuiyan, Arifa Akram, Sohel Rahman
KEYWORDS:
ESRD, Hemodialysis, COVID-19, Pneumonia, Corona Virus
JOURNAL NAME:
Advances in Infectious Diseases,
Vol.10 No.3,
July
29,
2020
ABSTRACT: Background: Since 2019, the pandemic of
Coronavirus disease 2019 (COVID-19) has spread very rapidly in China and Worldwide.
COVID-19 is a highly contagious, infectious and rapidly spreading viral disease
with an alarming case fatality rate up to 5%. Case Report: In this article, we report
a case of 60 years old non diabetic, hypertensive woman infected with COVID-19
who has end stage renal disease (ESRD) on
hemodialysis for last 18 months. COVID-19 patients with ESRD need
isolation dialysis but most of them cannot be handled properly due to limited
hemodialysis machine. With these unavailability and risk, we continue the
treatment along with hemodialysis for controlling uraemia and fluid balance.
With all effort this patient ended with an uneventful course with clinical
improvement, improvement of all laboratory parameters
and resolution of radiological findings but follow up RT-PCR cannot done
due to changing guideline of discharge criteria of COVID-19 patient in
Bangladesh. He positively responded to meropenem,
clarithromycin, favipiravir, thromboprophylaxis
with enoxaparin along with supplemental oxygen therapy. After that she was
discharged with an advice of 14 days home isolation with regular hemodialysis
and a follow up visit after 14 days in the outpatient department. Conclusion: An ESRD patient on regular hemodialysis suffering
from severe pneumonia has high risk of mortality. Combined effort from the health care workers are needed to
decrease the mortality of COVID-19 infected ESRD patients.