Spontaneous Renal Artery Dissection in COVID-19 Pneumonia: Potential Danger of Cytokine Storm
The coronavirus disease (COVID-19) pandemic has rapidly spread across the globe since its first detection in March 2020. Its widespread manifestations and vascular complications are increasingly being reported even in young and middle-aged patients. Hyperinflammation is a continuum of host’s exagger...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2021/6696443 |
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| author | Jitendra Parmar Tapan Patel Sandip Shah Jay Kothari Sameer Dani Sagar Vyas |
| author_facet | Jitendra Parmar Tapan Patel Sandip Shah Jay Kothari Sameer Dani Sagar Vyas |
| author_sort | Jitendra Parmar |
| collection | DOAJ |
| description | The coronavirus disease (COVID-19) pandemic has rapidly spread across the globe since its first detection in March 2020. Its widespread manifestations and vascular complications are increasingly being reported even in young and middle-aged patients. Hyperinflammation is a continuum of host’s exaggerated inflammatory response representing cytokine dysregulation/storm which produces coagulopathy and vascular endothelial dysfunction, apart from a prothrombotic state. Cytokine storm or direct viral invasion of the vascular endothelial cells through surface angiotensin-converting enzyme 2 receptors may result in endothelial dysfunction which can potentially result in dissection. Only a few case reports have been published in the literature describing vascular dissection without any inciting factors in COVID-19 patients. Herein, we present the first case report of bilateral renal artery dissection in a 41-year-old male patient who recently recovered from COVID-19 and was managed successfully in stages after many medical hurdles. |
| format | Article |
| id | doaj-art-5211216402ee4ddc8511c9241c896f74 |
| institution | Kabale University |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-5211216402ee4ddc8511c9241c896f742025-02-03T06:06:31ZengWileyCase Reports in Critical Care2090-64202090-64392021-01-01202110.1155/2021/66964436696443Spontaneous Renal Artery Dissection in COVID-19 Pneumonia: Potential Danger of Cytokine StormJitendra Parmar0Tapan Patel1Sandip Shah2Jay Kothari3Sameer Dani4Sagar Vyas5Department of Radiology, Apollo Hospitals International Limited, Ahmedabad, IndiaDepartment of Radiology, Apollo Hospitals International Limited, Ahmedabad, IndiaDepartment of Radiology, Apollo Hospitals International Limited, Ahmedabad, IndiaDepartment of Intensive and Critical Care, Apollo Hospitals International Limited, Ahmedabad, IndiaDepartment of Interventional Cardiology, Apollo Hospitals International Limited, Ahmedabad, IndiaDepartment of Intensive and Critical Care, Apollo Hospitals International Limited, Ahmedabad, IndiaThe coronavirus disease (COVID-19) pandemic has rapidly spread across the globe since its first detection in March 2020. Its widespread manifestations and vascular complications are increasingly being reported even in young and middle-aged patients. Hyperinflammation is a continuum of host’s exaggerated inflammatory response representing cytokine dysregulation/storm which produces coagulopathy and vascular endothelial dysfunction, apart from a prothrombotic state. Cytokine storm or direct viral invasion of the vascular endothelial cells through surface angiotensin-converting enzyme 2 receptors may result in endothelial dysfunction which can potentially result in dissection. Only a few case reports have been published in the literature describing vascular dissection without any inciting factors in COVID-19 patients. Herein, we present the first case report of bilateral renal artery dissection in a 41-year-old male patient who recently recovered from COVID-19 and was managed successfully in stages after many medical hurdles.http://dx.doi.org/10.1155/2021/6696443 |
| spellingShingle | Jitendra Parmar Tapan Patel Sandip Shah Jay Kothari Sameer Dani Sagar Vyas Spontaneous Renal Artery Dissection in COVID-19 Pneumonia: Potential Danger of Cytokine Storm Case Reports in Critical Care |
| title | Spontaneous Renal Artery Dissection in COVID-19 Pneumonia: Potential Danger of Cytokine Storm |
| title_full | Spontaneous Renal Artery Dissection in COVID-19 Pneumonia: Potential Danger of Cytokine Storm |
| title_fullStr | Spontaneous Renal Artery Dissection in COVID-19 Pneumonia: Potential Danger of Cytokine Storm |
| title_full_unstemmed | Spontaneous Renal Artery Dissection in COVID-19 Pneumonia: Potential Danger of Cytokine Storm |
| title_short | Spontaneous Renal Artery Dissection in COVID-19 Pneumonia: Potential Danger of Cytokine Storm |
| title_sort | spontaneous renal artery dissection in covid 19 pneumonia potential danger of cytokine storm |
| url | http://dx.doi.org/10.1155/2021/6696443 |
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