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Revaccination after Acute Kidney Injury Associated with Prior COVID-19 vaccination: Case Report

Advances in Infectious Diseases 2024年第1期14卷 196-205页

作者： Senyo Tagboto Laurette Geldenhuys Department of Internal Medicine Yarmouth Regional Hospital Yarmouth Canada Department of Medicine Dalhousie University Halifax Canada Department of Internal Medicine University of Health and Allied Sciences Ho Ghana Department of Pathology Dalhousie University Halifax Canada Department of Pathology and Laboratory Medicine Central Zone Nova Scotia Health Halifax Canada

Background: Acute kidney injury associated with proteinuria has been reported following vaccination against SARS-CoV-2 several times since 2021. Decisions about subsequent revaccination in these patients have been difficult because of the uncertainty of the consequences of doing so, and the absence of publications to help determine whether revaccination may be considered safe or not. Purpose: We present a case report of a 59-year-old Canadian man who developed severe acute kidney injury associated with moderate proteinuria following his first COVID-19 vaccine with the Moderna vaccine (an mRNA vaccine). He required haemodialysis for 2 weeks, which was initiated when his creatinine reached 1002 μmol/l. A kidney biopsy showed changes consistent with acute tubular necrosis. The patient was cautioned that repeat vaccination might result in further kidney injury which might be irreversible. However, he badly wanted to attempt a second COVID-19 vaccination, to facilitate a family vacation across several countries in Europe, at a time when travel restrictions were in place in many countries for persons who had not completed a course of vaccines. Method: Following deliberations, the patient chose to try a different type of Covid-19 vaccine. On this occasion, he was vaccinated with the Novavax vaccine (a subunit COVID-19 vaccine). Following this, close monitoring of his urine to detect proteinuria and blood testing for acute kidney injury were carried out on days 1, 3, 7, and 60 after vaccination. Furthermore, a year after his repeat vaccination, his kidney function and urinalysis were again assessed. Result and Conclusions: The patient did not develop acute kidney injury or worsening proteinuria following repeat vaccination. It remains unclear if acute kidney injury with proteinuria is caused by Covid-19 vaccination, or simply an incidental association. This case report suggests that it is may be reasonable for patients with acute kidney injury after COVID-19 vaccination to consider trying a different type of vaccine. In

关键词： Covid-19 vaccination Acute Kidney Injury Proteinuria Haemodialysis Revaccination

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De Novo Glomerular Diseases after COVID-19 vaccination: Consequence or Coincidence?

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Open Journal of Nephrology 2024年第2期14卷 233-239页

作者： Qods Yacoubi Salima Serroukh Loubna Benamar Naima Ouzeddoun Tarik Bouattar Department of Nephrology-Dialysis-Renal Transplantation CHU Ibn-Sina Mohammed V University Rabat Morocco

Introduction: vaccination against COVID-19 has proven highly effective in preventing severe forms of the disease. However, the literature reports several cases associating renal damage and the anti-COVID vaccine. The aim of our work was to report a case series of patients who developed glomerulopathy after anti-COVID-19 vaccine. We evaluated the type of vaccine, the clinico-biological profile, and the anatomopathological, therapeutic and evolutionary aspects. Material and Methods: Prospective descriptive study conducted at the Nephrology Department of CHU IbnSina in Rabat between December 2021 and June 2022 including 9 patients who presented with glomerulopathy after the 1st dose of anti-COVID-19 vaccine. We excluded patients followed for nephropathy. Results: The mean age of our patients was 33 ± 16 years with a sex ratio of 0.8. Six patients received an inactivated vaccine, 2 patients received a mRNA vaccine and 1 patient received a viral vector vaccine. The mean delay between the onset of signs and the date of the first vaccine dose was 3.1 +/? 0.65 months (1 - 6 months). All patients had a nephrotic syndrome, 2 pure and 7 impure: 3 patients had acute renal failure and microscopic hematuria, 2 patients had microscopic hematuria and 2 patients had acute renal failure. Histologically, focal segmental glomerulosclerosis (FSGS) was noted in 4 patients, lupus nephropathy in 3, and membranous nephropathy (MN) in 2. Specific treatment was administered to each patient, depending on the histological type of renal involvement and the context. After 6 months, complete remission was achieved in 5 patients, with no improvement in 2, and one patient was placed on hemodialysis. One patient died of another cause. Conclusion: The causal link between anti-COVID 19 vaccination and renal disease is highly probable, but remains to be confirmed.

关键词： Glomerulopathy vaccination COVID-19

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Study of Factors Associated with the Practice of vaccination against COVID-19 among Medical Science Students in Dakar (Senegal)

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Open Journal of Epidemiology 2024年第2期14卷 199-220页

作者： Chafika Ibrahim Zanguina Theresa Stella Esperance Fouckou Moko Jean Augustin Diegane Tine Department of Medicine El Hadji Ibrahima Niasse University of Dakar Dakar Senegal Department of Preventive Medicine and Public Health Faculty of Medicine Pharmacy and Odontology Cheikh Anta Diop University Dakar Senegal

Introduction: Almost a year after the start of the COVID-19 pandemic, Senegal embarked on a vaccination campaign to protect its population. The objective of this study was to identify the factors influencing the COVID-19 vaccination practices within a health training university in Dakar. Methodology: This was a cross-sectional, descriptive and analytical study carried out from October 21 2021 to February 21 2022 among students at the Elhadj Ibrahima Niass private University in Dakar, Senegal. A 28-question online questionnaire was sent to all students enrolled at the university during this period. Results: Of the 576 students who responded, the average age was 22.60 years, with females predominating (57.81%). Medical students accounted for 66.14% of participants, pharmacy 22.40% and dental surgery 11.46%. Of these, 42.01% were bachelor’s students, 29.51% master’s students and 28.47% doctoral students. vaccination coverage was 50.35%. Students who considered COVID-19 to be very dangerous were more likely to be vaccinated (OR = 5.05 [2.24-11.9]). Those with poor knowledge of vaccines were less likely to be vaccinated (OR = 0.07 [0.03-0.18]), as were those with poor knowledge of contraindications to vaccination (OR = 0.49 [0.28-0.86]). No association was found between vaccination status and socio-demographic or educational characteristics. Conclusion: In view of the importance of knowledge about COVID-19 vaccination, our results suggest that it is important to involve health students in the Ministry of Health’s awareness-raising strategies, because their support is necessary for better public awareness.

关键词： COVID-19 vaccination Health Students Senegal

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Epidemic management in a measles outbreak in 2023,the return of vaccine-preventable diseases:A single center,retrospective observational study

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Asian Pacific Journal of Tropical Medicine 2024年第3期17卷 110-118页

作者： Sevgi Aslan Tuncay Gulsen Akkoc Seyhan Yilmaz Burcu Parlak Pinar Canizci Erdemli Aylin Dizi Isik Didem Buyuktas Aytac Meryem Cagla Abaci Capar Eda Kepenekli Kadayifci Marmara University Faculty of Medicine Department of Pediatric Infectious DiseaseIstanbulTurkey

Objective:To investigate the importance of immunization in preventing measles infection and to determine the most useful laboratory tests for confirmation of measles.Methods:This study included pediatric cases evaluated with a presumed diagnosis of measles between December 2022 and June 2023,at Marmara University Pendik Training and Research Hospital.The effects of vaccination status and underlying disease on the clinical course,treatments,and complications were evaluated.Results:In total,117 patients were enrolled in the study with a median age of 80 months(IQR:32.5-125.0).Twelve patients with contact history were asymptomatic and had an underlying disorder,and intravenous immunoglobulin was given to them for post-exposure prophylaxis.Fifty-one patients had confirmed measles diagnosis.Ribavirin treatment was given to three patients(a newborn,a girl with rhabdomyosarcoma,and a healthy boy)with respiratory distress.Seventy-eight percent of confirmed measles cases were unvaccinated,and all hospitalized cases were unvaccinated or under-vaccinated.Four full-vaccinated children had confirmed measles infection.Measles PCR from nasopharyngeal swabs was negative in all of them,and their diagnosis was established with anti-measles IgM positivity.Conclusions:The measles vaccine is the most effective way to protect from measles and measles-related complications.Although measles can also occur in fully vaccinated patients,the disease is milder than in unvaccinated patients.Using ELISA and RT-PCR tests together may be beneficial in patients with high clinical suspicion for early diagnosis.

关键词： Measles Outbreak vaccination Vitamin A Ribavirin

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Viral hepatitis E:Clinical manifestations,treatment,and prevention

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Liver Research 2024年第1期8卷 11-21页

作者： Qiumin Luo Jia Chen Yeqiong Zhang Wenxiong Xu Ying Liu Chan Xie Liang Peng Department of Infectious Disease The Third Affiliated Hospital of Sun Yat-sen UniversityGuangzhouGuangdongChina Guangdong Key Laboratory of Liver Disease Research The Third Affiliated Hospital of Sun Yat-sen UniversityGuangzhouGuangdongChina

Hepatitis E is a globally distributed infection that varies in seroprevalence between developed and developing regions.In the less developed regions of Asia and Africa,a high seropositivity rate has been reported for hepatitis E virus(HEV)antibodies.Although acute hepatitis E is often self-limited and has a favorable prognosis,some populations experience severe manifestations,which may progress to liver failure.Moreover,some immunocompromised patients are at risk of developing chronic HEV infection and cirrhosis.Proactive screening,reducing misdiagnosis,improving patient management,timely anti-viral therapy for severe and chronic cases,and vaccination of high-risk groups are important measures to reduce the morbidity of hepatitis E.This review focused on the clinical presentation,management,and prevention of hepatitis E.

关键词： Hepatitis E Chronic hepatitis Screening Antiviral therapy vaccination

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Amoeba-inspired magnetic microgel assembly assisted by engineered dextran-binding protein for vaccination against lifethreatening systemic infection

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Nano Research 2023年第1期16卷 938-950页

作者： Shuo Liu Yan Zhao Linpei Guo Qilin Yu Key Laboratory of Molecular Microbiology and Technology Ministry of EducationDepartment of MicrobiologyCollege of Life SciencesNankai UniversityTianjin 300071China Research Center for Infectious Diseases Nankai UniversityTianjin 300350China College of Environmental Science and Engineering Tianjin Key Laboratory of Environmental Remediation and Pollution ControlNankai UniversityTianjin 300350China Department of Urology The Affiliated Wuxi No.2 People’s Hospital of Nanjing Medical UniversityWuxi 214002China

vaccination is critical for population protection from pathogenic infections.However,its efficiency is frequently compromised by a failure of antigen retention and presentation.Herein,we designed a dextran-binding protein DexBP,which is composed of the carbohydrate-binding domains of Trichoderma reesei cellobiohydrolases Cel6A and Cel7A,together with the sequence of the fluorescent protein mCherry.DexBP was further prepared by engineered Escherichia coli cells and grafted to magnetic nanoparticles.The magnetic nanoparticles were integrated with a dextran/poly(vinyl alcohol)framework and a reactive oxygen species-responsive linker,obtaining magnetic polymeric microgels for carrying pathogen antigen.Similar to amoeba aggregation,the microgels self-assembled to form aggregates and further induced dendritic cell aggregation.This step-by-step assembly retained antigens at lymph nodes,promoted antigen presentation,stimulated humoral immunity,and protected the mice from lifethreatening systemic infections.This study developed a magnetic microgel-assembling platform for dynamically regulating immune response during protection of the body from dangerous infections.

关键词： magnetic nanoparticle engineered protein dextran microgel vaccination systemic infection

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Clinicopathological and immunological features of new onset kidney disease: a rare event after SARS-CoV-2 vaccination

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National Science Review 2023年第5期10卷 112-123页

作者： Yue-Miao Zhang Xing-Zi Liu Zhao Zhang Tai-Cheng Zhou Xin Zhang Hong-Yu Yang Meng Tan Nan Hu Su-Fang Shi Fang Wang Rong Xu Li-Jun Liu Su-Xia Wang Gang Liu Fu-De Zhou Ming-Hui Zhao Hong Zhang Ji-Cheng Lv Ya-Ping Zhang Zi-Jie Zhang Li Yang Renal Division Department of MedicinePeking University First Hospital Renal Pathology Center Institute of NephrologyPeking University Key Laboratory of Renal Disease Ministry of Health of China Key Laboratory of CKD Prevention and Treatment Ministry of Education of China Research Units of Diagnosis and Treatment of Immune-Mediated Kidney Diseases Chinese Academy of Medical Sciences State Key Laboratory of Genetic Resources and Evolution Kunming Institute of ZoologyChinese Academy of Sciences Central Laboratory and Liver Disease Research Center The Affiliated Hospital of Yunnan University Laboratory of Electron Microscopy Pathological CentrePeking University First Hospital State Key Laboratory for Conservation and Utilization of Bio-Resource and School of Life Sciences Yunnan University

The onset of various kidney diseases has been reported after severe acute respiratory syndrome coronavirus2(SARS-CoV-2) vaccination.However,detailed clinical and pathological features are lacking.We screened and analyzed patients with newly diagnosed kidney diseases after inactivated SARS-CoV-2 vaccination in Peking University First Hospital from January 2021 to August 2021,and compared them with the reported cases in the literature.We obtained samples of blood,urine and renal biopsy tissues.Clinical and laboratory information,as well as light microscopy,immunostaining and ultrastructural observations,were described.The SARS-CoV-2 spike protein and nucle oprotein were stained using the immunofluorescence technique in the kidney biopsy samples.SARS-CoV-2 specific antibodies were tested using magnetic particle chemiluminescence immunoassay.The study group included 17 patients with a range of conditions including immune-complex-mediated kidney diseases(IgA nephropathy,membranous nephropathy and lupus nephritis),podocytopathy(minimal change disease and focal segmental glomerulosclerosis) and others(antineutrophil-cytoplasmic-antibody-associated vasculitis,anti-glomerular basement membrane nephritis,acute tubulointerstitial nephritis and thrombotic micro angiopathy).Seven patients(41.18%)developed renal disease after the first dose and ten(58.82%) after the second dose.The kidney disease spectrum as well as clinicopathological features are similar across different types of SARS-CoV-2 vaccines.We found no definitive evidence of SARS-CoV-2 spike protein or nucleoprotein deposition in the kidney biopsy samples.Seropositive markers implicated abnormal immune responses in predisposed individuals.Treatment and follow-up(median=86 days) showed that biopsy diagnosis informed treatment and prognosis in all patients.In conclusion,we observed various kidney diseases following SARS-CoV-2 vaccine administration,which show a high consistency across different types of SARS-CoV-2 vaccines.Our findings provide evidence against direct

关键词： kidney disease SARS-CoV-2 vaccination abnormal immune response

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Attitudes Regarding Influenza vaccination Among Public Health Workers during COVID-19 Pandemic — China, September 2022

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China CDC weekly 2023年第6期5卷 137-142页

作者： Heya Yi Yanlin Cao Jiemi Zhao Binshan Jiang Congxuan Bing Zijian Feng Weizhong Yang Jiandong Zheng Luzhao Feng Chinese Preventive Medicine Association BeijingChina Chinese Academy of Medical Sciences Peking Union Medical CollegeBeijingChina Division of Infectious Disease Chinese Center for Disease Control and PreventionBeijingChina

Summary What is already known about this topic?Public health workers(PHWs)were listed as a priority group recommended for influenza vaccination during the coronavirus disease 2019(COVID-19)pandemic.Understanding the d... 详细信息

关键词： vaccine vaccination listed

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Identifying the Optimal Age for Herpes Zoster vaccination—Yichang City,Hubei Province,China,2017–2019

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China CDC weekly 2022年第29期4卷 631-634页

作者： Meiying You Tianqi Wang Miaomiao Wang Wei Jiang Jing Jiang Xudong Li Yuehua Hu Dapeng Yin Office of Epidemiology Chinese Center for Disease Control and PreventionBeijingChina Data resources and Statistics Department Beijing Municipal Health Big Data and Policy Research CenterBeijingChina Yichang Center for Disease Control and Prevention Yichang CityHubei ProvinceChina Hainan Center for Disease Control and Prevention Haikou CityHainan ProvinceChina.

Summary What is already known about this topic?Herpes zoster(shingles)is a common skin condition in older adults,which usually presents as a painful rash with blisters.vaccination is the most effective method to prevent shingles.However,there is not sufficient population-based epidemiological data in China to optimize the timing of zoster vaccination.What is added by this report?Clustering analyses of population-wide epidemiological data from the Healthcare Big Data Platform in Yichang,China showed that the average annual zoster incidence is the highest among people 55 years or older,at 10 cases per thousand persons per year,making this age group the optimal target population for vaccination.Incidence was lower but increased with age among younger adults,28–54 years old.What are the implications for public health practice?With limited vaccination resources,zoster vaccinations should be targeted at adults 55 years or older who are at the greatest risk for shingles.Research should be conducted to understand the risk of shingles among young and middle-aged adults and identify triggers of shingles:potentially leading to preventive measures.

关键词： younger zoster vaccination

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Preliminary Study of the Protectiveness of vaccination Against the COVID-19 in the Outbreak of VOC Omicron BA.2—Jilin City,Jilin Province,China,March 3–April 12,2022

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China CDC weekly 2022年第18期4卷 377-380页

作者： Xuebin Fan Shan Lu Lu Bai Haican Liu Junshao Fu Xiaoxun Jin Yulong He Jinxing Lu Xiaoping Dong Jilin Municipal Center for Disease Control and Prevention Jilin CityJilin ProvinceChina State Key Laboratory for Infectious Disease Prevention and Control National Institute for Communicable Disease Control and PreventionChinese Center for Disease Control and PreventionBeijingChina Tongliao Municipal Center for Disease Control and Prevention Tongliao CityInner Mongolia Autonomous RegionChina State Key Laboratory for Infectious Disease Prevention and Control Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases(Zhejiang University)National Institute for Viral Disease Control and PreventionChinese Center for Disease Control and PreventionBeijingChina Center for Biosafety Mega-Science Chinese Academy of SciencesWuhan CityHubei ProvinceChina China Academy of Chinese Medical Sciences BeijingChina Shanghai Institute of Infectious Disease and Biosafety ShanghaiChina

Summary What is already known about this topic?An outbreak of coronavirus disease 2019(COVID-19)of Omicron BA.2 emerged in Jilin City since March 3,2022,which involved in 27,036 cases by April 12.The vaccination program with inactivated COVID-19 vaccines has been implemented since the beginning of 2021.What is added by this report?The incidences of moderate,severe,and critical cases in the whole population of the group of 0+1 dose were 1.82-,9.49-,and 3.85-fold higher than those in the group of 2 doses,and 5.03-,44.47-,and∞-fold higher than those received 3 doses vaccination.For the population≥60 years,the incidences of moderate,severe,and critical cases in the group of 0+1 dose were 29.92,9.62,and 4.27 per 100,000,showing 4.13-,43.72-,and 4.85-fold higher than 2 doses,as well as 13.28-,22.37-,and∞-fold higher than 3 doses.What are the implications for public health practice?The incidences of each type of COVID-19 in the population who were fully vaccinated or booster vaccinated in Jilin City were significantly lower than those who were unvaccinated and/or partially vaccinated.Booster vaccination with homologous inactivated vaccines induces stronger protectiveness for COVID-19 caused by variant of concern(VOC)Omicron.

关键词： doses Jilin vaccination

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