Merck Manual

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COVID-19 and Acute Kidney Injury (AKI)

By

Anna Malkina

, MD, University of California, San Francisco

Reviewed/Revised Mar 2023
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People with COVID-19, particularly the critically ill, may develop sudden kidney failure (acute kidney injury).

It is not clear exactly what causes AKI in people with COVID-19. Possibilities include the following:

  • Ischemia (inadequate blood supply to tissues) caused by the body's response to the virus

  • Inflammation caused by the body's response to the virus

  • Direct damage to the kidneys from the virus that causes COVID-19

Symptoms and blood and urine test results are similar to those of AKI caused by other disorders.

Doctors treat the acute kidney injury in COVID-19 by providing supportive care, including

If dialysis of the blood is required, anticoagulants (blood thinners) are given to prevent blood clots.

NOTE: This is the Consumer Version. DOCTORS: VIEW PROFESSIONAL VERSION
VIEW PROFESSIONAL VERSION
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