Management of Acute Kidney Injury in Patient with Dengue and COVID-19 Illness Simultaneously
Satish Mahajan
Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be university), Wardha, Maharashtra, India.
Vankadari Venkata Sesha Satya Sagar *
Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be university), Wardha, Maharashtra, India.
Dhruv Talwar
Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be university), Wardha, Maharashtra, India.
Annadatha Akhilesh
Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be university), Wardha, Maharashtra, India.
Chitturi Venkata sai Akhil
Department of Paediatrics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be university), Wardha, Maharashtra, 442001, India.
*Author to whom correspondence should be addressed.
Abstract
Dengue is a viral illness spreads through the bite of Aedes aegypti mosquito leading to a serious health hazard. Dengue induced acute kidney injury is a fatal consequence and there are very few studies reported. Hence early identification of high risk groups is crucial for prevention, to restrict progression and effective treatment of acute kidney injury and to minimise associated morbidity and mortality. The coronavirus disease outbreak has widely spread into a pandemic all over the world. COVID-19 cases have presented with wide spectrum of severity ranging from a mild presentation to severe cases affecting the lungs(ARDS) mainly and rapidly affecting various body organs leading to multiorgan failure. Among these renal involvement is common, the severity of which ranges from mild loss of protein in urine to progressive acute kidney injury requiring renal replacement therapy.
Keywords: Acute kidney injury, COVID 19, dengue, haemodialysis, renal replacement therapy