Atypical Presentation of Novel Coronavirus Disease 2019 in a Peritoneal Dialysis Patient

Journal of Investigative Medicine High Impact Case Reports
Subhasish BoseNarothama Reddy Aeddula

Abstract

Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is a rapidly spreading disease causing increased morbidity and mortality across the globe. There is limited available knowledge regarding the natural history of the SARS-CoV-2 infection. Other factors that are also making this infection spread like a pandemic include global travelers, lack of proven treatment, asymptomatic carriers, potential reinfection, underprepared global health care systems, and lack of public awareness and efforts to prevent further spread. It is understood that certain preexisting medical conditions increase the risk of mortality with COVID-19; however, the outcome of this disease in traditionally vulnerable chronic illnesses such as end-stage renal disease is not well documented. We present a case of a 56-year-old African American lady with end-stage renal disease on the peritoneal dialysis who presented predominantly with nausea, vomiting, and subsequently found to have COVID-19. We use this case to illustrate an atypical presentation of the COVID-19 in a vulnerable patient and discuss the literature.

References

Feb 29, 2020·The New England Journal of Medicine·Wei-Jie GuanUNKNOWN China Medical Treatment Expert Group for Covid-19
Mar 20, 2020·JAMA : the Journal of the American Medical Association·Matt ArentzMelissa Lee
Mar 22, 2020·Clinical Journal of the American Society of Nephrology : CJASN·Alan S Kliger, Jeffrey Silberzweig
Mar 25, 2020·Kidney International·Saraladevi NaickerVivekanand Jha
Apr 4, 2020·Clinical Journal of the American Society of Nephrology : CJASN·Junhua Li, Gang Xu
Apr 6, 2020·Kidney International·Yichun ChengGang Xu
Apr 30, 2020·Clinical Journal of the American Society of Nephrology : CJASN·David S GoldfarbDavid M Charytan

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Citations

Sep 4, 2020·Curēus·Sreenath MeegadaShravan K Katta
May 7, 2021·Case Reports in Infectious Diseases·Seyyedeh Narjes AbootalebiMehdi Forooghi

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