Glomerulonephritis due to minimal changes post COVID-19 vaccine AstraZeneca

  • Carlos Arias Servicio de Nefrología, Sanatorio Güemes, Ciudad Autónoma de Buenos Aires, Argentina
  • Fernando Pérez De Pedro Servicio de Nefrología, Sanatorio Güemes, Ciudad Autónoma de Buenos Aires, Argentina
  • Ernesto Caliva Servicio de Nefrología, Sanatorio Güemes, Ciudad Autónoma de Buenos Aires, Argentina
  • Belén Farías Servicio de Nefrología, Sanatorio Güemes, Ciudad Autónoma de Buenos Aires, Argentina
  • Alejandro Iotti Servicio de Nefrología, Sanatorio Güemes, Ciudad Autónoma de Buenos Aires, Argentina
  • Débora Rubio Servicio de Nefrología, Sanatorio Güemes, Ciudad Autónoma de Buenos Aires, Argentina
Keywords: COVID-19, coronavirus, severe acute respiratory syndrome, SARS-CoV-2, vaccination, minimal change nephrotic syndrome

Abstract

We report a case of a 28-year-old woman with minimal change disease secondary nephrotic syndrome 48 hours after the administration of the AstraZeneca SARS-CoV2 vaccine. The patient had suffered idiopathic nephrotic syndrome in childhood treated empirically with corticosteroids and cyclosporine, in complete remission from the age of 9. Some reports suggest that glomerular disease might appear infrequently associated to some vaccines.

References

1) Clajus C, Spiegel J, Bröcker V, Chatzikyrkou C, Kielstein JT. Minimal change nephrotic syndrome in an 82 year old patient following a tetanus-diphteria-poliomyelitis-vaccination. BMC Nephrol. 2009;10:21. doi: 10.1186/1471-2369-10-21.

2) Kielstein JT, Termühlen L, Sohn J, Kliem V. Minimal change nephrotic syndrome in a 65-year-old patient following influenza vaccination. Clin Nephrol. 2000;54(3):246-8.

3) Kikuchi Y, Imakiire T, Hyodo T, Higashi K, Henmi N, Suzuki S, et al. Minimal change nephrotic syndrome, lymphadenopathy and hyperimmunoglobulinemia after immunization with a pneumococcal vaccine. Clin Nephrol. 2002;58(1):68-72. doi: 10.5414/cnp58068.

4) Abeyagunawardena AS, Goldblatt D, Andrews N, Trompeter RS. Risk of relapse after meningococcal C conjugate vaccine in nephrotic syndrome. Lancet. 2003;362(9382):449-50. doi: 10.1016/s0140-6736(03)14072-x.

5) Lebedev L, Sapojnikov M, Wechsler A, Varadi-Levi R, Zamir D, Tobar A, et al. Minimal change disease following the Pfizer-BioNTech COVID-19 vaccine. Am J Kidney Dis. 2021;78(1):142-5. doi: 10.1053/j.ajkd.2021.03.010.

6) D'Agati VD, Kudose S, Bomback AS, Adamidis A, Tartini A. Minimal change disease and acute kidney injury following the Pfizer-BioNTech COVID-19 vaccine. Kidney Int. 2021;100(2):461-3. doi: 10.1016/j.kint.2021.04.035.

7) Morlidge C, El-Kateb S, Jeevaratnam P, Thompson B. Relapse of minimal change disease following the AstraZeneca COVID-19 vaccine. Kidney Int. 2021;100(2):459. doi: 10.1016/j.kint.2021.06.005.

8) Leclerc S, Royal V, Lamarche C, Laurin LP. Minimal change disease with severe acute kidney injury following the Oxford-AstraZeneca COVID-19 vaccine: a case report. Am J Kidney Dis. 2021;78(4):607-10. doi: 10.1053/j.ajkd.2021.06.008.

9) Cara-Fuentes GM, Johnson RJ, Garin EH. Cytokines as active factors in minimal change nephrotic syndrome. En: Kaneko K., ed. Molecular mechanisms in the pathogenesis of idiopathic nephrotic syndrome. Springer, Tokyo: 2016, p. 105-40. https://doi.org/10.1007/978-4-431-55270-3_8.

10) Shalhoub RJ. Pathogenesis of lipoid nephrosis: a disorder of T-cell function. Lancet. 1974;2(7880):556-60. doi: 10.1016/s0140-6736(74)91880-7.

11) Vivarelli M, Massella L, Ruggiero B, Emma F. Minimal change disease. Clin J Am Soc Nephrol. 2017;12(2):332-45. doi: 10.2215/CJN.05000516.

12) Gillion V, Jadoul M, Demoulin N, Aydin S, Devresse A. Granulomatous vasculitis after the AstraZeneca anti-SARS-CoV-2 vaccine. Kidney Int. 2021;100(3):706-7. doi: 10.1016/j.kint.2021.06.033.

13) Anderegg MA, Liu M, Saganas C, Montani M, Vogt B, Huynh-Do U, et al. De novo vasculitis after mRNA-1273 (Moderna) vaccination. Kidney Int. 2021;100(2):474-6. doi: 10.1016/j.kint.2021.05.016.

14) Sacker A, Kung V, Andeen N. Anti-GBM nephritis with mesangial IgA deposits after SARS-CoV-2 mRNA vaccination. Kidney Int. 2021;100(2):471-2. doi: 10.1016/j.kint.2021.06.006.

15) Rahim SEG, Lin JT, Wang JC. A case of gross hematuria and IgA nephropathy flare-up following SARS-CoV-2 vaccination. Kidney Int. 2021;100(1):238. doi: 10.1016/j.kint.2021.04.024.

16) Aydın MF, Yıldız A, Oruç A, Sezen M, Dilek K, Güllülü M, et al. Relapse of primary membranous nephropathy after inactivated SARS-CoV-2 virus vaccination. Kidney Int. 2021;100(2):464-5. doi: 10.1016/j.kint.2021.05.001.

17) Ciuntu A. The role of cell signaling molecules in the pathogenesis of glomerulonephritis in children. Moldovan Med J. 2021;64(2):37-4. doi: 10.52418/moldovan-med-j.64-2.21.07.

18) Kudose S, Batal I, Santoriello D, Xu K, Barasch J, Peleg Y, et al. Kidney biopsy findings in patients with COVID-19. J Am Soc Nephrol. 2020;31(9):1959-68. doi: 10.1681/ASN.2020060802.

19) Ishimoto T, Shimada M, Gabriela G, Kosugi T, Sato W, Lee PY, et al. Toll-like receptor 3 ligand, polyIC, induces proteinuria and glomerular CD80, and increases urinary CD80 in mice. Nephrol Dial Transplant. 2013;28(6):1439-46. doi: 10.1093/ndt/gfs543.

20) Xing CY, Saleem MA, Coward RJ, Ni L, Witherden IR, Mathieson PW. Direct effects of dexamethasone on human podocytes. Kidney Int. 2006;70(6):1038-45. doi: 10.1038/sj.ki.5001655.
Published
2022-03-16
How to Cite
1.
Arias C, Pérez De Pedro F, Caliva E, Farías B, Iotti A, Rubio D. Glomerulonephritis due to minimal changes post COVID-19 vaccine AstraZeneca. Rev Nefrol Dial Traspl. [Internet]. 2022Mar.16 [cited 2024Sep.1];42(1):65-8. Available from: http://revistarenal.org.ar/index.php/rndt/article/view/758
Section
Case Report