02 November 2021>: Articles
Glucocorticoids Induce Partial Remission of Focal Segmental Glomerulosclerosis but Not Interstitial Nephritis in COVID-19 Acute Kidney Injury in an APOL1 Low-Risk Genotype White Patient
Challenging differential diagnosis, Rare coexistence of disease or pathology
Piotr J. Nowak A* , Joanna Forycka B , Natalia Cegielska B , Karolina Harendarz B , Małgorzata Wągrowska-Danilewicz B , Marian Danilewicz B , Tomasz Płoszaj B , Maciej Borowiec C , Rafał Wlazeł B , Michał Nowicki DDOI: 10.12659/AJCR.933462
Am J Case Rep 2021; 22:e933462
Table 2. Summary of urine laboratory evaluations during hospitalization.
Laboratory test | Reference | Hospital day | ||||
---|---|---|---|---|---|---|
1 | 2 | 12 | 17 | 18 | ||
24-hour proteinuria | 22.6 | 26.5 | ||||
ACR | 1982 | 4100 | ||||
Urinalysis | ||||||
Appearance | Clear | Hazy | Hazy | Clear | ||
Bilirubin | Negative | Negative | Negative | Negative | ||
Blood | Negative | + | Negative | + | ||
Color | Colorless, straw, yellow, pale yellow | Yellow | Yellow | Pale yellow | ||
Glucose | Negative | Negative | Negative | Negative | ||
Ketones | Negative | Negative | Negative | Negative | ||
Leukocyte esterase | Negative | Negative | Negative | Negative | ||
Nitrate | Negative | Negative | Negative | Negative | ||
pH | 4.5–8.0 | 5.0 | 5.0 | 6.0 | ||
Protein | Negative | 10.2 g/L | 9.5 g/L | 4.9 g/L | ||
Specific gravity | 1.005–1.030 g/mL | 1.020 | 1.020 | 1.016 | ||
Urobilinogen | < 17 | |||||
Urine sediment | ||||||
Amorphous crystals | None seen, rare, occasional/HPF | None seen | Rare | None seen | ||
Bacteria | None seen, rare/HPF | Rare | Rare | Rare | ||
Casts | None seen/LPF | Rare: coarse granular, and hyline granular; Occasional: fine granular | Occasional: fine granular and hyline granular | Occasional, hyline casts | ||
Mucus | None seen/LPF | Rare | Rare | Rare | ||
RBC | 0–2/HPF | Occasional | 1–2 | 1–3 | ||
Renal epithelial cells | None seen/HPF | Rare | Occasional | None seen | ||
Squamous epithelial cells | 0–20/LPF | 15 | Occasional | Occasional | ||
WBC | 0–5/HPF | 10–15 | 1–3 | 1–2 | ||
Yeast | None seen/HPF | None seen | None seen | None seen | ||
ACR – albumin/creatinine ratio; HPF – high-power field; LPF – low-power field; RBC – red blood cells; WBC – white blood cells. |