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Official publication of the Indian Society of Nephrology
 
CASE REPORT
Ahead of Print

Multiple kidney infarctions due to COVID-19 infection in a patient with repeatedly negative RT-PCR tests-A case report


1 Department of Gastroenterology and Hepatology, University Hospital Centre of Split, Split, Croatia
2 Department of Nephrology and Hemodialysis, University Hospital Centre of Split; Department of Pathophysiology, University of Split School of Medicine, Split, Croatia
3 Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Centre of Split, Split, Croatia

Correspondence Address:
Maja Mizdrak,
Department of Nephrology and Hemodialysis, University Hospital Centre of Split, Split; Department of Pathophysiology, University of Split School of Medicine, Split, Šoltanska 2, Split
Croatia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijn.ijn_144_21

Since the outbreak of novel coronavirus in 2019, SARS-CoV-2 has spread worldwide at an unexpected rate, becoming a major global health concern. Although respiratory tract infections represent typical clinical presentation, recently, numerous cases of acute arterial thrombosis and thromboembolic disease have been reported due to COVID-19 infection. Renal artery embolism is a condition that is easily missed due to its infrequent and nonspecific presentation. In this paper, we reported a case of a 63-year-old, previously healthy, male patient who has developed multiple right kidney infarctions due to COVID-19 infection without any respiratory or other typical clinical manifestations. Consecutive RT-PCR tests were negative and the diagnosis was set finally by serological screening. Our presentation has emphasized the necessity of clinical, laboratory, microbiological, and radiological integration in diagnostic approach to this novel and challenging disease with often unusual clinical presentations to avoid false negative discrimination.


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Indian Journal of Nephrology
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Online since 20th Sept '07