Severe acute respiratory syndrome in a hemodialysis patient
Identifieur interne : 000D73 ( Pmc/Curation ); précédent : 000D72; suivant : 000D74Severe acute respiratory syndrome in a hemodialysis patient
Auteurs : Bonnie Ching-Ha Kwan [République populaire de Chine] ; Chi-Bon Leung [République populaire de Chine] ; Cheuk-Chun Szeto [République populaire de Chine] ; Angela Yee-Moon Wang [République populaire de Chine] ; Philip Kam-Tao Li [République populaire de Chine]Source :
- American Journal of Kidney Diseases [ 0272-6386 ] ; 2003.
Abstract
Severe acute respiratory syndrome (SARS) is a highly infective disease caused by a newly identified coronavirus. We described the clinical course of the first long-term hemodialysis patient who developed SARS in the literature, and our experience in performing hemodialysis for this patient. Such patients may present with a less typical clinical picture, making diagnosis difficult. In this patient, the course of disease and duration of viral shedding was apparently prolonged, thus highlighting the need for increased infection control. Despite worsening the anemia in renal failure patients by causing hemolysis, ribavirin is well tolerated after dosage adjustment. Difficulties of diagnosis, infection control, and treatment of SARS in renal failure patients are discussed in this report.
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DOI: 10.1016/j.ajkd.2003.07.022
PubMed: 14582051
PubMed Central: 7115736
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last="Kwan">Bonnie Ching-Ha Kwan</name><affiliation wicri:level="1"><nlm:aff id="AFF1">Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong</wicri:regionArea></affiliation></author><author><name sortKey="Leung, Chi Bon" sort="Leung, Chi Bon" uniqKey="Leung C" first="Chi-Bon" last="Leung">Chi-Bon Leung</name><affiliation wicri:level="1"><nlm:aff id="AFF1">Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong</wicri:regionArea></affiliation></author><author><name sortKey="Szeto, Cheuk Chun" sort="Szeto, Cheuk Chun" uniqKey="Szeto C" first="Cheuk-Chun" last="Szeto">Cheuk-Chun Szeto</name><affiliation wicri:level="1"><nlm:aff id="AFF1">Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong</wicri:regionArea></affiliation></author><author><name sortKey="Wang, Angela Yee Moon" sort="Wang, Angela Yee Moon" uniqKey="Wang A" first="Angela Yee-Moon" last="Wang">Angela Yee-Moon Wang</name><affiliation wicri:level="1"><nlm:aff id="AFF1">Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong</wicri:regionArea></affiliation></author><author><name sortKey="Li, Philip Kam Tao" sort="Li, Philip Kam Tao" uniqKey="Li P" first="Philip Kam-Tao" last="Li">Philip Kam-Tao Li</name><affiliation wicri:level="1"><nlm:aff id="AFF1">Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong</wicri:regionArea></affiliation></author></analytic><series><title level="j">American Journal of Kidney Diseases</title><idno type="ISSN">0272-6386</idno><idno 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We described the clinical course of the first long-term hemodialysis patient who developed SARS in the literature, and our experience in performing hemodialysis for this patient. Such patients may present with a less typical clinical picture, making diagnosis difficult. In this patient, the course of disease and duration of viral shedding was apparently prolonged, thus highlighting the need for increased infection control. Despite worsening the anemia in renal failure patients by causing hemolysis, ribavirin is well tolerated after dosage adjustment. Difficulties of diagnosis, infection control, and treatment of SARS in renal failure patients are discussed in this report.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lee, N L" uniqKey="Lee N">N.L. Lee</name></author><author><name sortKey="Hui, D S" uniqKey="Hui D">D.S. Hui</name></author><author><name sortKey="Wu, A K" uniqKey="Wu A">A.K. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Kidney Dis</journal-id><journal-id journal-id-type="iso-abbrev">Am. J. Kidney Dis</journal-id><journal-title-group><journal-title>American Journal of Kidney Diseases</journal-title></journal-title-group><issn pub-type="ppub">0272-6386</issn><issn pub-type="epub">1523-6838</issn><publisher><publisher-name>National Kidney Foundation, Inc. Published by Elsevier Inc.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">14582051</article-id><article-id pub-id-type="pmc">7115736</article-id><article-id pub-id-type="publisher-id">S0272-6386(03)01083-7</article-id><article-id pub-id-type="doi">10.1016/j.ajkd.2003.07.022</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Severe acute respiratory syndrome in a hemodialysis patient</article-title></title-group><contrib-group><contrib contrib-type="author" id="au10"><name><surname>Kwan</surname><given-names>Bonnie Ching-Ha</given-names></name><degrees>MBBS, MRCP(UK)</degrees><xref rid="AFF1" ref-type="aff">a</xref></contrib><contrib contrib-type="author" id="au20"><name><surname>Leung</surname><given-names>Chi-Bon</given-names></name><degrees>MBChB</degrees><role>FRCP(EDIN)</role><xref rid="AFF1" ref-type="aff">a</xref></contrib><contrib contrib-type="author" id="au30"><name><surname>Szeto</surname><given-names>Cheuk-Chun</given-names></name><degrees>MD, MRCP(UK)</degrees><xref rid="AFF1" ref-type="aff">a</xref></contrib><contrib contrib-type="author" id="au40"><name><surname>Wang</surname><given-names>Angela Yee-Moon</given-names></name><degrees>MBBS, MRCP(UK)</degrees><xref rid="AFF1" ref-type="aff">a</xref></contrib><contrib contrib-type="author" id="au50"><name><surname>Li</surname><given-names>Philip Kam-Tao</given-names></name><role>FACP,FRCP</role><email>philipli@cuhk.edu.hk</email><xref rid="COR1" ref-type="corresp">*</xref><xref rid="AFF1" ref-type="aff">a</xref></contrib></contrib-group><aff id="AFF1"><label>a</label>Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong, People’s Republic of China</aff><author-notes><corresp id="COR1"><label>*</label>Address reprint requests to Philip Kam-Tao Li, FACP, FRCP, Consultant and Chief of Nephrology, Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong <email>philipli@cuhk.edu.hk</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>21</day><month>2</month><year>2008</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>11</month><year>2003</year></pub-date><pub-date pub-type="epub"><day>21</day><month>2</month><year>2008</year></pub-date><volume>42</volume><issue>5</issue><fpage>1069</fpage><lpage>1074</lpage><history><date date-type="received"><day>29</day><month>5</month><year>2003</year></date><date date-type="accepted"><day>30</day><month>7</month><year>2003</year></date></history><permissions><copyright-statement>Copyright © 2003 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.</copyright-statement><copyright-year>2003</copyright-year><copyright-holder>National Kidney Foundation, Inc.</copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions><abstract id="ceab10"><p>Severe acute respiratory syndrome (SARS) is a highly infective disease caused by a newly identified coronavirus. We described the clinical course of the first long-term hemodialysis patient who developed SARS in the literature, and our experience in performing hemodialysis for this patient. Such patients may present with a less typical clinical picture, making diagnosis difficult. In this patient, the course of disease and duration of viral shedding was apparently prolonged, thus highlighting the need for increased infection control. Despite worsening the anemia in renal failure patients by causing hemolysis, ribavirin is well tolerated after dosage adjustment. Difficulties of diagnosis, infection control, and treatment of SARS in renal failure patients are discussed in this report.</p></abstract><kwd-group id="cekeyws10"><title>Keywords</title><kwd>Severe acute respiratory syndrome (SARS)</kwd><kwd>atypical pneumonia</kwd><kwd>coronavirus</kwd><kwd>renal failure</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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