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논문 기본 정보

자료유형
학술저널
저자정보
Lim Jimin (Division of Nephrology, Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.) Paek Jin Hyuk (Division of Nephrology, Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.Keimyung University Kidney Institute, Daegu, Korea.) Shin Hyeong Chan (Department of Pathology, Keimyung University School of Medicine, Daegu, Korea.) Park Woo Yeong (Division of Nephrology, Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.Keimyung University Kidney Institute, Daegu, Korea.) Jin Kyubok (Division of Nephrology, Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.Keimyung University Kidney Institute, Daegu, Korea.) Choe Misun (Department of Pathology, Keimyung University School of Medicine, Daegu, Korea.) Han Seungyeup (Division of Nephrology, Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.Keimyung University Kidney Institute, Daegu, Korea.) Kim Yaerim (Division of Nephrology, Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.Keimyung University Kidney Institute, Daegu, Korea.)
저널정보
대한백신학회 Clinical and Experimental Vaccine Research Clinical and Experimental Vaccine Research Vol.13 No.1
발행연도
2024.1
수록면
68 - 71 (4page)
DOI
10.7774/cevr.2024.13.1.68

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초록· 키워드

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In the context of the massive spread of coronavirus disease 2019 (COVID-19), the development of a COVID-19 vaccine is urgently needed. The Pfizer-BioNTech COVID-19 vaccine has been widely applied across global populations. Herein, we report a case of acute interstitial nephri tis with acute kidney injury in a young healthy subject after administration of the COVID-19 vaccine. A 20-year-old man was admitted with abdominal discomfort and nausea. He had received the Pfizer-BioNTech COVID-19 vaccine 6 days before. At 9 days after vaccination, his kidney function was decreased, with serum creatinine levels of 1.8 mg/dL. Even with support ive care with hydration, his kidney function worsened, and he underwent a kidney biopsy. The pathology findings revealed diffuse interstitial infiltration of inflammatory cells, predominantly comprising lymphocytes, with preservation of the glomerulus. No abnormal findings were noted by immunofluorescence or electron microscopy. Based on a diagnosis of drug-related acute interstitial nephritis, we treated the patient with high-dose prednisolone. After adminis tration of prednisolone, kidney function slowly improved. A close linkage between COVID-19 vaccination and acute interstitial nephritis should be considered in the clinic, despite the low incidence.

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