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10.4103/ijn.IJN_120_20

http://scihub22266oqcxt.onion/10.4103/ijn.IJN_120_20
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33013062!7470203!33013062
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suck abstract from ncbi

pmid33013062      Indian+J+Nephrol 2020 ; 30 (3): 161-165
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  • COVID 19 and Acute Kidney Injury #MMPMID33013062
  • Prasad N; Agrawal SK
  • Indian J Nephrol 2020[May]; 30 (3): 161-165 PMID33013062show ga
  • Coronavirus disease 19 (COVID-19) is caused by severe acute respiratory syndrome-corona virus (SARS-CoV-2), a beta coronavirus, mainly involves the respiratory tract, and the clinical features simulate to a severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS) of the past. The genome of the SARS-CoV-2, isolated from a cluster-patient with a typical pneumonia after visiting Wuhan, had 89% nucleotide identitical with bat SARS-like-CoVZXC21 and 82% with that of human SARS-CoV. It enters the respiratory tract through angiotensin converting enzyme-2 (ACE2) receptors on alveoli. It may induce lung injury through direct cytopathic effect, involving effector T cells or causing sepsis and inducing cytokine storm. With a similar mechanism, it can cause acute kidney injury (AKI). The overall incidence of AKI is 5.1%, and AKI is an independent risk factor for mortality. The hazard ratio of death increases with the increasing severity of AKI. Management of COVID-19 with AKI is primarily supportive care, and at present, there are no evidence based effective antivirals for the treatment.
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