Abstract

Complications after COVID-19, even in mild and moderate form, can be detected in children. Patients with chronic diseases are the most susceptible to the development of complications. The impact of COVID-19 on exacerbation of pyelonephritis and acute kidney injury (AKI) in children is not studied enough as yet. The authors present a clinical case observation of a COVID-19 complication in a 6 years old male patient with spinal neurogenic lower urinary tract dysfunction in a form of areflex maladaptive bladder. Two weeks after the coronavirus infection the patient developed an exacerbation of chronic pyelonephritis and AKI with an increase in creatinine, urea, and microalbuminuria levels. Continuous catheterization of the bladder, crystalloid infusions and antibiotic therapy coupled with Dipyridamole made it possible to stop the AKI manifestations within 10 days.

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