Evidence map›Paper›PMID 41073959›Full record

ArticleBMC pediatrics2025

Clinical characteristics of children with idiopathic nephrotic syndrome infected with SARS-CoV-2: a single-center retrospective cohort study.

Li-E Wu, Jun-Yu Wei, Zi-Hui Lin, Hong-Chao Li, Chun-Lin Huang

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Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Li-E WuDepartment of Pediatrics, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, Guangxi Clinical Research Center for Pediatric Diseases, Nanning, China.
Jun-Yu WeiDepartment of Pediatrics, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, Guangxi Clinical Research Center for Pediatric Diseases, Nanning, China.
Zi-Hui LinDepartment of Pediatrics, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, Guangxi Clinical Research Center for Pediatric Diseases, Nanning, China.
Hong-Chao LiDepartment of Pediatrics, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, Guangxi Clinical Research Center for Pediatric Diseases, Nanning, China.
Chun-Lin HuangDepartment of Pediatrics, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, Guangxi Clinical Research Center for Pediatric Diseases, Nanning, China. huang_chunlin5266@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdiopathic nephrotic syndrome (INS) is the most common kidney disease in children; however, the characteristics of kidney involvement, which occurs following severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in children with INS, remain unclear. Therefore, in the present study, we investigated the clinical characteristics of children with INS infected with SARS-CoV-2.

methodsWe retrospectively enrolled 20 children with INS infected with SARS-CoV-2, and 50 without underlying diseases infected during the same period as controls. Data on sex, age, mode of transmission, vaccination status, duration of illness, clinical symptoms, myocardial enzyme levels, D-dimer levels, kidney function, incidence of acute kidney injury (AKI), respiratory support, immunoglobulin levels, and absolute lymphocyte values were collected and compared between the groups. Information regarding the type of pathology, immunosuppressant use, and time of relapse in the INS group was also collected.

resultsIn the INS group, 10 patients had a history of intrafamilial transmission. All cases had mild symptoms, mostly cough and fever, with an average disease duration of 1 week. The two groups showed no significant differences in sex, age, mode of transmission, vaccination, duration of illness, clinical symptoms, elevated D-dimer level, AKI, or respiratory support. A significant difference was observed only in myocardial enzyme elevations (P<0.001

conclusionsSARS-CoV-2 infections in children with INS were mainly intrafamilial, and mostly mild. SARS-CoV-2 infection was associated with relapse in INS, and may lead to complications such as myocardial enzyme elevations, AKI, deterioration of kidney function, while upregulated steroid therapy might be effective in relapse cases of children with SSNS. Further, we found that healthy children are at risk of new-onset INS following SARS-CoV-2 infection.

Indexed as

COVID-19Nephrotic SyndromeAcute Kidney InjuryAdolescentChildChild, PreschoolFemaleHumansInfantMaleRetrospective StudiesSARS-CoV-2ChildrenIdiopathic nephrotic syndromeImmunosuppressionRelapseSARS-CoV-2

Identifiers

PMID41073959
PMCPMC12512867

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