Dokikj, Dejan
Preferred name
Dokikj, Dejan
Official Name
Dokikj, Dejan
Main Affiliation
Email
dejan.dokikj@medf.ukim.edu.mk
47 results
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Item type:Publication, Rhabdomyolysis and Acute Kidney Injury in a Patient with Severe Form of Covid-19 Pneumonia- A Case Report(Balkan Cities Association of Nephrology, Dialysis, Transplantation and Artificial Organs, 2020); ; ; Introduction. The ongoing pandemic with the novel Corona virus poses unprecented challenges for the me- dical professionals worldwide. Acute kidney injury is frequently seen in patients infected with corona virus and often associated with a poor patient outcome. Rhabdo- myolysis has been recognized as one of the possible contributing mechanisms. Case. A 68-year-old man was referred to the emergen- cy department complaining of a dry cough, myalgia, general weakness with devastated energy feeling, chest pain and difficulties in breathing, symptoms he expe- rienced in the past five days. He also noticed that his urine was dark and in reduced amount. Quick antigen test for SARS CoV2 was performed, and the patient found Covid-19 positive. He was admitted at the hos- pital ward in a covid-designated unit. Laboratory findings revealed elevation of the inflammatory markers and elec- trolyte disbalance. Metabolic degradation products were markedly increased, serum urea was 44mmol/L (RF=2.7- 7.8 mmol/L) and serum creatinine 689umol/L (RF=45- 109umol/L), when deterioration of the kidney function was diagnosed. Urgent intermittent hemodialysis treatment was initiated. Patient suffered from a severe form of covid-19 pneumonia and was continuously on high flow oxygen mask. Duration of the patient hospitalization was 30 days, and thereafter, he was transferred to the reha- bilitation center for 28 days. Complete restoration of the physical motion and activity was accomplished, oxygen support was no longer needed, since he main- tained blood oxygen saturation above 95%. Renal func- tion has also been recovered with degradation products maintained within normal ranges. Conclusion. Rhabdomyolysis in covid-19 patients should be always kept in mind. Sometimes it can be an initial clinical manifestation in covid-19 patients [15], but on the other hand it can be presented as a late complication sometimes caused by the therapy itself. Multidiscipli- nary and comprehensive approach in the diagnosis, treat- ment and follow up of the patients can only guarantee timely detection and wide range of therapeutical moda- lity, leading to a better prognosis and outcome. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The rationality of the use of NIV in elderly patients with acute COPD exacerbation(European Respiratory Society, 2018-09-15); ; ; ; Jovanoski, Smilko - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Obstructive Sleep Apnea and Lipid Abnormalities(ID-Design/Scientific foundation SPIROSKI, 2017-03-15); ; ; There has been a great interest in the interaction between obstructive sleep apnea (OSA) and metabolic dysfunction, but there is no consistent data suggesting that OSA is a risk factor for dyslipidemia. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The Level of Cholesterol in COPD Patients with Severe and Very Severe Stage of the Disease(Scientific foundation Spiroski, 2016-06-15); ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Relationship between Vitamin D, Inflammation and Lung Function In Patients with Severe Uncontrolled Asthma(Scientific Foundation SPIROSKI, 2017-12-15); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The effect of smoking on lung function and respiratory symptoms in population of 25-40 years who worked in state administration(Здружение на физиолози и антрополози на Македонија, 2016); ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Assessment of infectious etiology in severe exacerbations of chronic obstructive pulmonary disease; relationship with respiratory failure(Macedonian Association of Anatomists, 2021); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Correlation between detected respiratory pathogens and lung function in patients with acute exacerbation of chronic obstructive pulmonary disease(Македонско лекарско друштво = Macedonian medical association, 2021); ; ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Leukotriene receptor antagonist (LTRA) added to regular preventive therapy: inhaled corticosteroids and longacting beta agonists (ICS/LABA) in patients with severe uncontrolled asthma(Macedonian Pharmaceutical Association, 2020-10-29); ; ; ; Goseva, Zlatica - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Efficacy of herbal medicines in treatment of respiratory infections(Macedonian Association of Anatomists and Morphologists, 2024-10-24); ;