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Perrotta AM, Rotondi S, Mazzaferro S, Bosi L, Letizia C, Muscaritoli M, Gigante A, Salciccia S, Pasculli P, Ciardi MR, Tinti F, Galani A, Errigo F, Menè P, Cianci R, Mitterhofer AP, Mastroianni CM, Palange P, Lai S. COVID-19 and kidney: role of SARS-CoV-2 infection in the induction of renal damage. Eur Rev Med Pharmacol Sci 2023; 27:7861-7867. [PMID: 37667963 DOI: 10.26355/eurrev_202308_33441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 09/06/2023]
Abstract
OBJECTIVE SARS-CoV-2 causes acute respiratory disease, interstitial and alveolar pneumonia, and involves numerous organs and systems such as the kidney, heart, digestive tract, blood, and nervous system. We aimed to evaluate the incidence of renal manifestations in patients diagnosed with COVID-19 infection. PATIENTS AND METHODS We performed a monocentric, cross-sectional, observational study, conducted on 114 patients with SARS-CoV-2. Clinical and laboratory parameters [renal function, serum electrolytes, inflammatory state, blood gas analysis, Interleukin 6 (IL-6) and urinalysis] were evaluated. The same values were checked out after two months (T1), however after negativization. RESULTS We enrolled 114 patients (59 males) with a mean age of 63.8 ± 13.9 years. We found hematuria in 48 patients (55.8%), proteinuria in 33 patients (38.4%), leukocyturia in 61 patients (70.9%), acute kidney injury (AKI) in 28 patients (24.6%), AKI in chronic kidney disease (CKD) in 24 patients (21.1%). Moreover, we found a significant increase of inflammatory indexes as C Reactive Protein (CRP), lactic dehydrogenase (LDH), alpha 1 and alpha 2 globulins with a subsequent reduction at T1 (p = 0.016, p < 0.001, p = 0.005, p = 0.007; respectively). Hemoglobin and erythrocyte values significantly decreased (p < 0.001, p = 0.003, respectively), and we found lymphopenia (p < 0.001). Also, we found elevated levels of the D-Dimer (p < 0.001) and a significant increase in the International Normalized Ratio (INR) (p = 0.038). We also showed a significant improvement after negativization in oxygen partial pressure (p = 0.001) and oxygen saturation (p < 0.001) and a significant increase in pH (p = 0.018) and bicarbonate concentration (p = 0.042). Moreover, we found a significant increase in IL-6 (p = 0.004). Also, we reported mild hyponatremia and hypokalemia with subsequent significant recovery (p < 0.001, p < 0.001, respectively) and mild hypochloremia with a recovery to the limits of statistical significance (p = 0.053). At the entrance, we found an increase in serum glucose with a significant reduction during recovery (p < 0.001). CONCLUSIONS The prevalence of AKI and/or CKD and/or abnormal urinalysis in patients diagnosed with COVID-19 on admission seems to be high and appears as a negative prognostic factor. Urinalysis appears to be very useful in unveiling the potential kidney impairment of COVID-19 patients; therefore, urinalysis could be used to reflect and predict the disease severity. We also recommend a careful evaluation of metabolic alterations, inflammatory states, and electrolytic disorders in COVID-19 patients.
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Affiliation(s)
- A M Perrotta
- Department of Translational and Precision Medicine, Nephrology Unit, Sapienza University of Rome, Rome, Italy.
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De Nunzio C, Lombardo R, Mancini E, Rovesti L, Cicione A, Nacchia A, Trucchi A, Baldassarri V, D’Annunzio S, Voglino O, Guarnotta G, Gallo G, Stira J, Gravina C, Turchi B, Franco A, Pastore A, Carbone A, Leonardo C, Franco G, Sciarra A, Salciccia S, Di Pierro G, Al Salhi Y, Tubaro A. Metabolic syndrome evaluation improves prostate cancer detection in patients undergoing a repeat biopsy. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00122-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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3
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Nacchia A, Lombardo R, Tema G, Cicione A, Del Giudice F, Pastore A, Gravina C, Gallo G, Turchi B, Stira J, Zammitti F, Ghezzo N, Franco A, Mancini E, Guidotti A, Fuschi A, Franco G, Leonardo C, Sciarra A, Salciccia S, Del Giudice F, Pastore A, Carbone A, Tubaro A, De Nunzio C. Major adverse cardiovascular events (MACE) related to phosphodiesterase 5 inhibitors (PDE5i): Analysis of real-life data from Eudra-Vigilance (EV) database. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01287-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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4
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Nacchia A, Gravina C, Gallo G, Fiasconaro D, Sarcinelli L, Zammitti F, Ghezzo N, Guidotti A, Lombardo R, Franco A, Tema G, Cicione A, Pastore A, Sciarra A, Di Pierro G, Salciccia S, Leonardo C, Al Salhi Y, Franco G, Carbone A, Tubaro A, De Nunzio C. Trends and incidence of reported events associated with male slings: An analysis of the food and drug administration’s manufacturer and user facility device experience database. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00821-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Stira J, Tema G, Cicione A, Lombardo R, Mancini E, Zammitti F, Rovesti L, Sarcinelli L, Gallo G, Guidotti A, Pastore A, Fuschi A, Carbone A, Del Giudice F, Sciarra A, Leonardo C, Salciccia S, Franco G, Tubaro A, De Nunzio C. Trends and incidence of reported events associated with staplers: An analysis of the food and drug administration’s manufacturer and user facility device experience database. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00855-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Nacchia A, Gravina C, Gallo G, Fiasconaro D, Sarcinelli L, Zammitti F, Ghezzo N, Guidotti A, Lombardo R, Franco A, Tema G, Cicione A, Pastore A, Carbone A, Sciarra A, Salciccia S, Di Pierro G, Al Salhi Y, Franco G, Tubaro A, De Nunzio C. Trends and incidence of reported events associated with ureteroscopes: An analysis of the food and drug administration’s manufacturer and user facility device xxperience database. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00824-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Lagozzi M, Bevilacqua G, Frisenda M, Viscuso P, Canale V, Moriconi M, Di Pierro G, Gentilucci A, Salciccia S, De Berardinis E, Cattarino S, Sciarra A, Fais S. Plasmatic exosome number and size distinguish prostate cancer patients from healty individuals: a prospective clinical study. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)00999-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Moriconi M, Salciccia S, Del Giudice F, Viscuso P, Canale V, Rosati D, Cattarino S, Gentilucci A, Frisenda M, Bevilacqua G, De Berardinis E, Sciarra A, Mariotti G. How to predict outcomes from a biofeedback and pelvic floor muscle electric stimulation program in patients with urinary incontinence after radical prostatectomy. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01243-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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Canale V, Sciarra A, Frisenda M, Scarrone E, Viscuso P, Rosati D, Moriconi M, Bevilacqua G, Di Pierro G, Gentilucci A, Cattarino S, Busetto G, Carrieri G, Cormio L, Carbone A, Pastore A, De Nunzio C, Tubaro A, Salciccia S, Leonardo C, Franco G, De Berardinis E, Panebianco V. Predictive role of node-rads score in patients with prostate cancer candidates for radical prostatectomy with extended lymph node dissection: comparative analysis with validated nomograms. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01170-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Del Giudice F, Chung B, Maggi M, Sciarra A, Salciccia S, Scornajenghi C, Asero V, De Berardinis E. Contemporary trends of systemic neoadjuvant and adjuvant intravesical chemotherapy in patients with upper tract urothelial carcinomas undergoing minimally invasive or open radical nephroureterectomy: analysis of us claims on perioperative outcomes and health care costs. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01232-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Maggi M, Rosati D, Viscuso P, Canale V, Frisenda M, Catuzzi R, Moriconi M, Asero V, Scarrone E, Carbone A, Pastore A, Fuschi A, Di Pierro G, Busetto G, De Berardinis E, Ricciuti G, Panebianco V, Magliocca F, Del Giudice F, Chung B, Sciarra A, Salciccia S. The influence of operative time and blood loss on surgical margins and functional outcomes at laparoscopic versus robotic-assisted radical prostatectomy: A prospective multicenter study. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)01243-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Del Giudice F, Stefanie V, Sciarra A, Salciccia S, Maggi M, Canale V, Flammia S, Viscuso P, Moriconi M, Pecoraro M, Panebianco V, Chung B. Contemporary trends of systemic neoadjuvant and adjuvant intravesical chemotherapy for upper tract urothelial carcinomas undergoing minimally invasive or open radical nephroureterectomy: US-claims analysis on perioperative and health care costs outcomes. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00386-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Del Giudice F, Salciccia S, Gentile V, Mastroianni C, Pasculli P, Di Lascio G, Moriconi M, Ciardi M, Maggi M, De Berardinis E, Sciarra A. Interplay between male testosterone levels and the risk for subsequent invasive respiratory assistance among COVID-19 patients at hospital admission. EUR UROL SUPPL 2021. [PMCID: PMC8487690 DOI: 10.1016/s2666-1683(21)00851-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Busetto G, Maggi M, Salciccia S, Del Giudice F, De Berardinis E, Sciarra A. Assessment of two-gene urinary test with multiparametric magnetic resonance imaging of the prostate for biopsy naïve men: A prospective study. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35395-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Lai S, Mittherhofer AP, Cianci R, Riviello L, Vocaturi M, Mastroluca D, Ciccariello M, Von Heland M, Ricciuti GP, Salciccia S, Mazzaferro S. Uroflowmetry alterations in patients with autosomal dominant polycystic kidney disease. Eur Rev Med Pharmacol Sci 2020; 23:2734-2743. [PMID: 31002123 DOI: 10.26355/eurrev_201904_17546] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE Autosomal Dominant Polycystic Kidney Disease (ADPKD) is a heterogeneous inherited disease characterized by renal and extrarenal manifestations with progressive fluid-filled cyst development leading to end-stage renal disease. Our aim was to evaluate the prevalence of obstructive urological disease in ADPKD patients and possible associations with endothelial dysfunction, nutritional, metabolic and inflammatory markers. PATIENTS AND METHODS The study included ADPKD patients and control group, who carried out uroflowmetry, an assessment of renal function, metabolic and nutritional parameters and an evaluation of endothelial dysfunction and atherosclerotic markers, such as Renal Resistive Index (RRI), Intima-Media Thickness (IMT) and Flow-Mediated Dilation (FMD). RESULTS We enrolled 37 ADPKD patients (20 males with 51.0 ± 14.3 years) and 34 control group (18 males with 60.7 ± 14.4 years). We showed a significant reduction in Max Flow Rate (Qmax) (p ≤ 0.001), age (p = 0.006), FMD (p = 0.023) and Voiding Volume (p = 0.053), in addition to a significant increase in Voiding Time and Diastolic Blood Pressure (p ≤ 0.001, p = 0.049; respectively) in ADPKD patients with respect to control group. Moreover, we found a negative correlation between Qmax and creatinine (r= -0.44, p = 0.007), RRI (r= -0.49, p ≤0.001) and intact Parathyroid Hormone (r = -0.329, p = 0.046), while we found a positive correlation between Qmax and MDRD (r = 0.327, p = 0.048) and between Voiding Time and serum uric acid (r= 0.34, p = 0.039) in ADPKD patients with respect to control group. CONCLUSIONS In our study, we showed an elevated prevalence of urological functional diseases in ADPKD patients; therefore, we suggest to include uroflowmetry in the assessment of these patients, considering the non-invasiveness, repeatability and low cost of the exam. An early intervention could slow down the progression of renal damage and an early screening of the main cardiovascular risk factors could reduce the high morbidity and mortality in ADPKD patients.
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Affiliation(s)
- S Lai
- Department of Translational and Precision Medicine, UOC Nephrology, Sapienza University of Rome, Rome, Italy.
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Cerulli C, Sciarra A, Mazzone L, Autran Gomez AM, Salciccia S, Di Silverio F. Primary Carcinoid Tumor in a Horseshoe Kidney. Urologia 2005. [DOI: 10.1177/039156030507200206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
We report on a rare case of primary carcinoid tumor in a horseshoe kidney. A 56-year-old male was referred at our clinic with a history of urinary tract stones. A CT scan revealed a horseshoe kidney with a large mass in the lower pole of the right kidney. The patient was submitted to a partial right nephrectomy with resection of the lower half of the right kidney and isthmectomy The histological and immunohistochemical findings were compatible with a diagnosis of primary carcinoid tumor. After 24 months the patient is still alive without evidence of recurrence or progression.
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Affiliation(s)
- C. Cerulli
- Dipartimento di Urologia, Università La Sapienza, Roma
| | - A. Sciarra
- Dipartimento di Urologia, Università La Sapienza, Roma
| | - L. Mazzone
- Dipartimento di Urologia, Università La Sapienza, Roma
| | | | - S. Salciccia
- Dipartimento di Urologia, Università La Sapienza, Roma
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Salciccia S, Cirocchi R, Salciccia P. [Nephron sparing surgery]. MINERVA UROL NEFROL 2004; 56:319-24. [PMID: 15467509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/30/2023]
Abstract
AIM The role of nephron sparing surgery in patients with a solitary kidney, bilateral kidney tumors or an impaired renal function has been widely accepted. Partial nephrectomy in patients with a normal contralateral kidney is still under discussion. METHODS We evaluated the effectiveness and safety of the nephronsparing surgery in the treatment of low stage renal cell carcinoma versus radical nephrectomy. We evaluated the records of 12 patients with localized, symptomless small renal masses (<4 cm) treated with nephronsparing surgery (group A) and 12 patients matched for age, tumor location, size, and stage who were treated with radical nephrectomy (group B). RESULTS The operations were successfully completed in all intended cases. No major bleeding or urine leakage from the enucleation bed was observed. None of the cases presented with postoperative bleeding or urine leakage from the enucleation bed. Severe impairment of the renal function was not observed in any case evaluated by means of serum creatinine and creatinine clearance. The overall survival rate was 100% without recurrence up to 24 months of the mean follow-up. CONCLUSION Partial nephrectomy for small peripheral lesions is a safe procedure with low morbidity. No definite recurrences are evident at an early stage of follow-up, although longer review (probably more than 10 years) will be required to assess cancer-specific survival following this procedure.
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Affiliation(s)
- S Salciccia
- Unità Operativa di Urologia, ASL 2, Urbino, Italy
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Salciccia P, Poveromo G, Salciccia S. Fournier's Gangrene of Genitalia: Case Report. Urologia 2003. [DOI: 10.1177/039156030307001-408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Fournier's gsngrene is a rare disease involving the scrotum and the penis with occasional extension up to the abdominal wall. The etiology of the disease, commonly without prodromal symptoms and with sudden onset, is still not fully understood. The organisms are usually streptococcus haemoliticus and/or anerobic bacteria. We report a case of Fournier's gangrene, presenting septic shock. The patient was treated with reanimatory care, antibiotics, local excision and debridment. Speaking about anatomical and etiopathogenetic hypotheses, we discuss the diagnostic problems and the treatment of the disease. We emphasize the role of the early diagnosis.
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