Asian Journal of Research in Nephrology

An Unusual Case of Acute Obstructive Kidney Failure on Renal Transplant Complicating a Pulmonary COVID-19 Infection

Z. Benamara *

Nephrology, Dialysis and Renal Transplantation Unit, CHU Ibn Rochd, Casablanca, Morocco.

S. Hamine

Nephrology, Dialysis and Renal Transplantation Unit, CHU Ibn Rochd, Casablanca, Morocco.

I. Elmokhtari

Anesthesiology and Intensive Care Unit, CHU Ibn Rochd, Casablanca, Morocco.

S. S. Elkhayat

Nephrology, Dialysis and Renal Transplantation Unit, CHU Ibn Rochd, Casablanca, Morocco.

G. Medkouri

Nephrology, Dialysis and Renal Transplantation Unit, CHU Ibn Rochd, Casablanca, Morocco.

M. Zamd

Nephrology, Dialysis and Renal Transplantation Unit, CHU Ibn Rochd, Casablanca, Morocco.

N. Mtioui

Nephrology, Dialysis and Renal Transplantation Unit, CHU Ibn Rochd, Casablanca, Morocco.

M. G. Benghanem

Nephrology, Dialysis and Renal Transplantation Unit, CHU Ibn Rochd, Casablanca, Morocco.

L. Barrou

Anesthesiology and Intensive Care Unit, CHU Ibn Rochd, Casablanca, Morocco.

*Author to whom correspondence should be addressed.

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Abstract

Aims: Kidney transplant patients are particularly at risk of developing dreadful complications due to any infection, given the daily intake of immunosuppressive drugs, Covid- 19 is no exception. However the obstructive cause has never been described to the best of our knowledge

Results: We report the case of a 30 years-old  patient, with renal transplant since 2018, who developped a severe pulmonary Covid-19 infection complicated by an acute anuric obstructive kidney failure confirmed by echography showing moderate pyelo-calicielle dilation.

Conclusion: Because kidney transplant have only one functioning kidney, and are under immunosuppressive therapy, the incidence and severity of acute kidney injury are higher in these settings with a major risk of losing the precious graft.

Keywords: Acute kidney injury, obstructive, COVID-19, infection

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