摘要
<b><span style="font-family:Verdana;">Background</span></b><b><span style="font-family:Verdana;">:</span></b><span style="font-family:Verdana;"></span><span style="font-family:Verdana;"> Since 2019, the pandemic of Coronavirus disease 2019</span><span style="font-family:Verdana;"> (COVID-</span><span style="font-family:Verdana;">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%. </span><span style="font-family:Verdana;"></span><b><span style="font-family:Verdana;">Case</span></b><span style="font-family:Verdana;"></span><b><span style="font-family:;" "=""> </span></b><span style="font-family:Verdana;"></span><b><span style="font-family:Verdana;">Report</span></b><b><span style="font-family:Verdana;">:</span></b><span style="font-family:Verdana;"></span><span style="font-family:;" "=""><span style="font-family:Verdana;"> In this article, we report a case of 60 years old non diabetic, hypertensive woman infected with COVID-19 who </span><span style="font-family:Verdana;">has end stage renal disease (ESRD) on hemodialysis for last 18 months.</span></span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">COVID-</span><span style="font-family:;" "=""><span style="font-family:Verdana;">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 </span><span style="font-family:Verdana;">parameters and resolution of radiological findings but follow up RT-PCR</span><span style="font-family:Verdana;"> cannot done due to changing guideline of discharge criteria of COVID-19 patient in Bangladesh.</span></span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">He positively responded to meropenem, clarithromycin, favi</span><span style="font-family:Verdana;">piravir, 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. </span><span style="font-family:Verdana;"></span><b><span style="font-family:Verdana;">Conclusion</span></b><b><span style="font-family:Verdana;">:</span></b><span style="font-family:Verdana;"></span><span style="font-family:;" "=""> </span><span style="font-family:;" "=""><span style="font-family:Verdana;">An ESRD patient on regular hemodialysis suffering from severe pneumonia has high risk of mortality. Combined </span><span style="font-family:Verdana;">effort from the health care workers are needed to decrease the mortality of</span><span style="font-family:Verdana;"> COVID-19 infected ESRD patients.</span></span>
<b><span style="font-family:Verdana;">Background</span></b><b><span style="font-family:Verdana;">:</span></b><span style="font-family:Verdana;"></span><span style="font-family:Verdana;"> Since 2019, the pandemic of Coronavirus disease 2019</span><span style="font-family:Verdana;"> (COVID-</span><span style="font-family:Verdana;">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%. </span><span style="font-family:Verdana;"></span><b><span style="font-family:Verdana;">Case</span></b><span style="font-family:Verdana;"></span><b><span style="font-family:;" "=""> </span></b><span style="font-family:Verdana;"></span><b><span style="font-family:Verdana;">Report</span></b><b><span style="font-family:Verdana;">:</span></b><span style="font-family:Verdana;"></span><span style="font-family:;" "=""><span style="font-family:Verdana;"> In this article, we report a case of 60 years old non diabetic, hypertensive woman infected with COVID-19 who </span><span style="font-family:Verdana;">has end stage renal disease (ESRD) on hemodialysis for last 18 months.</span></span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">COVID-</span><span style="font-family:;" "=""><span style="font-family:Verdana;">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 </span><span style="font-family:Verdana;">parameters and resolution of radiological findings but follow up RT-PCR</span><span style="font-family:Verdana;"> cannot done due to changing guideline of discharge criteria of COVID-19 patient in Bangladesh.</span></span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">He positively responded to meropenem, clarithromycin, favi</span><span style="font-family:Verdana;">piravir, 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. </span><span style="font-family:Verdana;"></span><b><span style="font-family:Verdana;">Conclusion</span></b><b><span style="font-family:Verdana;">:</span></b><span style="font-family:Verdana;"></span><span style="font-family:;" "=""> </span><span style="font-family:;" "=""><span style="font-family:Verdana;">An ESRD patient on regular hemodialysis suffering from severe pneumonia has high risk of mortality. Combined </span><span style="font-family:Verdana;">effort from the health care workers are needed to decrease the mortality of</span><span style="font-family:Verdana;"> COVID-19 infected ESRD patients.</span></span>
作者
Md. Reaz Uddin Chowdhury
Kazi Shanzida Akter
Muhammad Zahangir Alam
Muhammad Anwarul Kabir
Sahedul Islam Bhuiyan
Arifa Akram
Sohel Rahman
Md. Reaz Uddin Chowdhury;Kazi Shanzida Akter;Muhammad Zahangir Alam;Muhammad Anwarul Kabir;Sahedul Islam Bhuiyan;Arifa Akram;Sohel Rahman(Abdul Malek Ukil Medical College, Noakhali, Bangladesh;Dedicated COVID-19 Hospital-Trauma Center, Feni, Bangladesh;Brahmanbaria Medical College, Brahmanbaria, Bangladesh;National Institute of Laboratory Medicine and Refferal Center, Dhaka, Bangladesh;Institute of Epidemiology Disease Control and Research, Dhaka, Bangladesh)
