When a family of three from Bengaluru, including a 53-year-old aged transplant transplant person, contracted COVID-19 in August, the family only prayed that the disease would not cause more complications in the kidney recipient.
While two family members developed classic COVID-19 symptoms, including high fever, cough, and loss of taste / smell, the person who underwent the transplant had very mild symptoms. Doctors said this was due to their poor immune response due to immunosuppressants.
No classical features
City nephrologists, who have noted a high incidence of COVID-19 in people with kidney disease and other serious chronic medical conditions, said those with kidney issues and those who have had transplants have not demonstrated classical symptoms. They were at a higher level. Risk of more serious disease.
To study this aspect, a group of doctors at Manipal Hospitals wrote a review article titled ‘Coronavirus Disease 2019 and the Kidney’ on the effect of COVID-19 on kidney disease, kidney recipients and dialysis patients. Articles published in Journal of Internal Medicine , Association of Physicians of India, an official publication of the Karnataka chapter, was compiled by Ravi Jangmani, Chakravarti Thirumal, and Sankaran Sundar at the Department of Nephrology at Manipal Hospital in Bengaluru.
“In addition to our own findings, we have also put together global observations about the effect of the virus on the kidneys of patients,” Dr. Jangani told Hindu on Thursday. “Patients with chronic kidney diseases (CKD) and immune-mediated kidney diseases should be considered as at-risk for experiencing more serious disease. Kidney diseases at risk for experiencing more severe disease of immunosu-pipet drugs Should be considered as “said.
Dr. Head of International Transplant Services at the hospital. Sundar stated that 20 to 40% of critically ill COVID-19 patients who had no kidney problems before infection developed acute kidney injury.
He said, “Those affected by kidney problems were the most hurt. As most did not exhibit fever or other classical symptoms, they did not seek medical advice on time and went for self-medication. This led to complications at a later stage and we have seen higher mortality in such patients.
Stating that the epidemic had killed those most on dialysis, Drs. “There was a high risk for the virus in dialysis patients because they had none other than going to hospitals for the procedure,” Sundar said.
Dr. Jangmani said that more than 20% of patients seeking dialysis at Manipal Hospital were infected.
Dialysis patients infected with the virus in the city had a difficult time in the early months of the epidemic because COVID-dedicated hospitals did not have dialysis facilities. However, the situation improved after August when private hospitals established dedicated COVID-19 wards.
To mark World Kidney Day, Manipal Hospitals provided free immunization to all people undergoing dialysis at all its centers.
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