与接种腺病毒载体疫苗(Sputnik V)相关的新生微小变化疾病

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摘要

由于SARS-CoV-2病毒引起的大流行,已经制定了多种治疗和预防策略,以避免其传播。事实证明,疫苗是控制COVID - 19传播的最有效手段,这既避免了重症监护病房大量收治重症患者,也避免了卫生系统的崩溃。到目前为止,有不同的试验疫苗平台,包括腺病毒载体、灭活疫苗和核酸疫苗等。随着疫苗接种进程在全球范围内的推进,已经有许多出版物报道了肾脏不良事件,其中包括应用核酸(RNAm)和腺病毒载体疫苗后由微小变化病(MCD)引起的继发性肾病综合征的病例报告。病例介绍:男性患者在接种第二剂SPUTNIK V疫苗后出现肾病综合征,无微量血尿,肾功能不全,因此进行了肾活检。这样的活检报告这是一个MCD病例,在口服皮质类固醇六周后完全缓解。
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De Novo Minimal Changes Disease Associated to Inoculation with Adenovirus Vector Vaccine (Sputnik V)
Due to the pandemic caused by the virus SARS-CoV-2, multiple therapeutic and preventive strategies have been developed in order to avoid its propagation. Vaccines have been proved to be the most efficient means to control the spread of COVID 19, which has prevented both massive admissions of critical patients to intensive care units and the collapse of the health system from happening. To the present day there are different tested vaccine platforms with adenovirus vectors, inactivated vaccines and nucleic acid vaccines, among others [1]. As the vaccination process moved forward around the globe, there has been a number of publications reporting on adverse renal events, which included case reports on Secondary Nephrotic Syndome derived from Minimal Changes Disease (MCD) after the application of both, nucleic acid (RNAm) and adenovirus vector vaccines. Case presentation: male patient presented with nephrotic syndrome without microhematuria and with renal dysfunction after the application of the second dose of SPUTNIK V vaccine, which is why a renal biopsy was carried out. Such biopsy reported it was a case of MCD, which had a complete remission after six weeks of oral corticosteroids.
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