Practice
Kidney injury associated with COVID-19
Daniel Blum, Alejandro Meraz-Munoz and Ziv Harel
CMAJ September 14, 2020 192 (37) E1065; DOI: https://doi.org/10.1503/cmaj.201553
Daniel Blum
Division of Nephrology (Blum), Jewish General Hospital, Montréal, Que.; Division of Nephrology (Meraz-Munoz, Harel) St. Michael’s Hospital, Toronto, Ont.
MDCMAlejandro Meraz-Munoz
Division of Nephrology (Blum), Jewish General Hospital, Montréal, Que.; Division of Nephrology (Meraz-Munoz, Harel) St. Michael’s Hospital, Toronto, Ont.
MDZiv Harel
Division of Nephrology (Blum), Jewish General Hospital, Montréal, Que.; Division of Nephrology (Meraz-Munoz, Harel) St. Michael’s Hospital, Toronto, Ont.
MD MScIn this issue
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Kidney injury associated with COVID-19
Daniel Blum, Alejandro Meraz-Munoz, Ziv Harel
CMAJ Sep 2020, 192 (37) E1065; DOI: 10.1503/cmaj.201553
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- As many as 40% of patients admitted to hospital with COVID-19 have acute kidney injury
- Patients commonly present with dipstick-positive hematuria and mild proteinuria1
- Hemodynamic insults, immunologic injury, hypercoagulability and microangiopathy drive kidney injury associated with COVID-193
- Patients on long-term treatment with ACE inhibitors and angiotensin receptor blockers are not at increased risk of COVID-19
- Patients receiving dialysis often present atypically with COVID-19
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