Cranial neuropathy following coronavirus disease 2019 vaccination in kidney transplant recipients

Q4 Medicine IJU Case Reports Pub Date : 2024-10-02 DOI:10.1002/iju5.12761

Shota Fukae, Kazuaki Yamanaka, Soichi Matsumura, Ryo Tanaka, Shigeaki Nakazawa, Yoichi Kakuta, Norio Nonomura

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Abstract

Introduction

Understanding of adverse reactions to coronavirus disease 2019 vaccines remains limited.

Case presentation

Case 1: A 52-year-old woman, post-kidney transplantation, experienced sudden vision loss in her left eye after receiving a second dose of coronavirus disease 2019 vaccine. She was diagnosed with ischemic optic neuropathy.

Case 2: A 53-year-old woman, post-kidney transplantation, presented with worsening diplopia and left eye pain following the second dose of coronavirus disease 2019 vaccine. She was diagnosed with left abducens nerve palsy.

Conclusion

Vigilance is essential for recognizing the potential for delayed cranial neuropathy in immunocompromised individuals after coronavirus disease 2019 vaccination.

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肾移植受者接种 2019 年冠状病毒疫苗后出现颅神经病变。

导言：对 2019 年冠状病毒病疫苗不良反应的了解仍然有限：病例 1：一名 52 岁的女性，肾移植术后，在接种第二剂 2019 年冠状病毒病疫苗后左眼视力突然下降。她被诊断为缺血性视神经病变。病例 2：一名 53 岁的女性，肾移植术后，接种第二剂 2019 年冠状病毒病疫苗后出现复视加重和左眼疼痛。她被诊断为左眼外展神经麻痹：要认识到接种冠状病毒病 2019 疫苗后免疫力低下的人可能会出现迟发性颅神经病，就必须保持警惕。

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