key: cord-0806425-5y99hvcr authors: Sookaromdee, Pathum; Wiwanitkit, Viroj title: Transient Fanconi Syndrome in a Child with Acute COVID-19 Infection: Correspondence date: 2022-05-19 journal: Indian J Pediatr DOI: 10.1007/s12098-022-04196-y sha: ce39f839ba4da02f4620c517e8d975728d3dccd2 doc_id: 806425 cord_uid: 5y99hvcr nan To the Editor: We would like to correspond on the article entitled "Transient Fanconi Syndrome in a Child with Acute COVID-19 Infection [1] ." Sengupta et al. reported an interesting case and discussed renal pathology directly resulting from viral infection. Indeed, a renal problem in COVID-19 is possible. There are many possible pathomechanisms including immunopathological process [2] . In the present case, transient clinical problem and recovery after good fluid therapy is an interesting phenomenon. A likely underlying pathogenic cause in this case might be a temporary pathological process, which should not be a direct, permanent renal damage by pathogen or abnormal immunity. In COVID-19, an increased blood viscosity occurs and might result in hyperviscosity problem [3] . A transient problem might be due to increased viscosity during COVID-19 illness. The good fluid replacement care can help resolve the problem and might be associated with transient occurrence of the problem. Transient fanconi syndrome in a child with acute COVID-19 infection Coronavirus-antibody immune complex: a nanostructure appraisal possible cause of nephropathology Blood viscosity of COVID-19 patient: a preliminary report