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Comment
. 2020 May 16;395(10236):e87-e88.
doi: 10.1016/S0140-6736(20)31041-2. Epub 2020 May 6.

COVID-19-associated nephritis: early warning for disease severity and complications?

Oliver Gross  1 , Onnen Moerer  2 , Manfred Weber  3 , Tobias B Huber  4 , Simone Scheithauer  5
Affiliations
Comment

COVID-19-associated nephritis: early warning for disease severity and complications?

Oliver Gross et al. Lancet. .
No abstract available

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Figures

Figure
Figure
Proposed algorithm for early detection of COVID-19-associated nephritis and capillary leak syndrome Patients at intermediate risk and high risk should be re-evaluated daily, health-care workers should consider preventive strategies (eg, expect, prevent and treat possible complications of severe interstitial oedema [pulmonary], severe immune deficit [loss of immunoglobulins], circulatory insufficiency [oncotic pressure], impaired plasma protein binding of many drugs, and thrombotic events [lack of antithrombin], which might be preventable by anticoagulants) and, on deterioration, health-care workers should consider rescue strategies. For example, if the patient deteriorates (eg, severe infection, respiratory failure, need for extracorporeal membrane oxygenation), consider early start of renal replacement therapy to better manage fluid overload. COVID-19=coronavirus disease 2019. ICU=intensive care unit.
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References

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