Severe acute respiratory syndrome in haemodialysis patients: a report of two cases

被引:9
作者
Tang, HL
Cheuk, A
Chu, KH
Lee, W
Wong, SH
Cheng, YL
Yu, AWY
Fung, KS
Tsang, WK
Chan, HWH
Tong, KL
机构
[1] Princess Margaret Hosp, Dept Med & Genet, Div Nephrol, Kowloon, Hong Kong, Peoples R China
[2] Alice Ho Miu Ling Nethersole Hosp, Dept Med, Renal Unit, Hong Kong, Hong Kong, Peoples R China
关键词
end-stage renal failure; haemodialysis; pulse methylprednisolone; ribavirin; SARS; severe acute respiratory syndrome;
D O I
10.1093/ndt/gfg454
中图分类号
R3 [基础医学]; R4 [临床医学];
学科分类号
1001 ; 1002 ; 100602 ;
摘要
In summary, the experiences in our two cases show that SARS, in end-stage renal failure patients, may have an atypical presentation. They can present with minimal symptoms, e.g. low-grade fever only, leading to diagnostic difficulty. The optimal ribavirin dose for treating SARS in patients with end-stage renal failure and in those receiving haemodialysis is unknown. Further studies are warranted to clarify these. I.v. pulse methylprednisolone given at the phase of deterioration seems to be of benefit. One patient died of SARS and the other recovered from the disease.
引用
收藏
页码:2178 / 2181
页数:4
相关论文
共 7 条
[1]   Identification of a novel coronavirus in patients with severe acute respiratory syndrome [J].
Drosten, C ;
Günther, S ;
Preiser, W ;
van der Werf, S ;
Brodt, HR ;
Becker, S ;
Rabenau, H ;
Panning, M ;
Kolesnikova, L ;
Fouchier, RAM ;
Berger, A ;
Burguière, AM ;
Cinatl, J ;
Eickmann, M ;
Escriou, N ;
Grywna, K ;
Kramme, S ;
Manuguerra, JC ;
Müller, S ;
Rickerts, V ;
Stürmer, M ;
Vieth, S ;
Klenk, HD ;
Osterhaus, ADME ;
Schmitz, H ;
Doerr, HW .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 348 (20) :1967-1976
[2]   A major outbreak of severe acute respiratory syndrome in Hong Kong [J].
Lee, N ;
Hui, D ;
Wu, A ;
Chan, P ;
Cameron, P ;
Joynt, GM ;
Ahuja, A ;
Yung, MY ;
Leung, CB ;
To, KF ;
Lui, SF ;
Szeto, CC ;
Chung, S ;
Sung, JJY .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 348 (20) :1986-1994
[3]   Coronavirus as a possible cause of severe acute respiratory syndrome [J].
Peiris, JSM ;
Lai, ST ;
Poon, LLM ;
Guan, Y ;
Yam, LYC ;
Lim, W ;
Nicholls, J ;
Yee, WKS ;
Yan, WW ;
Cheung, MT ;
Cheng, VCC ;
Chan, KH ;
Tsang, DNC ;
Yung, RWH ;
Ng, TK ;
Yuen, KY .
LANCET, 2003, 361 (9366) :1319-1325
[4]   Clinical progression and viral load in a community outbreak of coronavirus-associated SARS pneumonia: a prospective study [J].
Peiris, JSM ;
Chu, CM ;
Cheng, VCC ;
Chan, KS ;
Hung, IFN ;
Poon, LLM ;
Law, KI ;
Tang, BSF ;
Hon, TYW ;
Chan, CS ;
Chan, KH ;
Ng, JSC ;
Zheng, BJ ;
Ng, WL ;
Lai, RWM ;
Guan, Y ;
Yuen, KY .
LANCET, 2003, 361 (9371) :1767-1772
[5]   Identification of severe acute respiratory syndrome in Canada [J].
Poutanen, SM ;
Low, DE ;
Henry, B ;
Finkelstein, S ;
Rose, D ;
Green, K ;
Tellier, R ;
Draker, R ;
Adachi, D ;
Ayers, M ;
Chan, AK ;
Skowronski, DM ;
Salit, I ;
Simor, AE ;
Slutsky, AS ;
Doyle, PW ;
Krajden, M ;
Petric, M ;
Brunham, RC ;
McGeer, AJ .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 348 (20) :1995-2005
[6]   A cluster of cases of severe acute respiratory syndrome in Hong Kong [J].
Tsang, KW ;
Ho, PL ;
Ooi, GC ;
Yee, WK ;
Wang, T ;
Chan-Yeung, M ;
Lam, WK ;
Seto, WH ;
Yam, LY ;
Cheung, TM ;
Wong, PC ;
Lam, B ;
Ip, MS ;
Chan, J ;
Yuen, KY ;
Lai, KN .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 348 (20) :1977-1985
[7]  
World Health Organization, Emergencies Preparedness, Response