Dear Editor,
We would like to share ideas on the publication “The incidence of acute kidney injury (AKI) and its association with mortality in patients diagnosed with COVID‐19 followed‐up in intensive care uni. 1 ” Bayrakci et al. noted that “AKI is frequently seen during the course of COVID‐19 and is associated with high mortality. Identifying AKI‐related risk factors appears essential in the management of COVID‐1. 1 ” We agree that AKI is a possible clinical problem in coronavirus disease‐2019 (COVID‐19). Background medical problems might be a risk for developing AKI and the finding in the present study also support this fact. In an early report from Asia during the early emerging COVID‐19, the AKI is rare. 2 Whether the observed incidence in the present study by Bayrakci et al. reflects a possible high background incidence of silent kidney problem is a question. Regarding the mechanism that causes AKI in COVID‐19, it is still unclear. Abnormal immunopathology and immune complex formation might be a possible mechanism. 3 Additionally, a change in blood viscosity in COVID‐19 might also aggravate AKI. 4
CONFLICT OF INTEREST
None.
REFERENCES
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