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Crescentic Glomerulonephritis with Fibrinoid Vasculitis after Administration of Influenza Vaccine

A 66-year-old man was admitted to our hospital because of a low-grade fever and arthralgia. The symptoms started on the third day after influenza vaccine administration and persisted for two months. Serum creatinine was 1.0 mg/dL; C-reactive protein, 16.1 mg/dL; and myeloperoxidase antineutrophil cy...

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Autores principales: Hara, Risa, Hasegawa, Eiko, Inoue, Noriko, Sekine, Akinari, Tanaka, Kiho, Ikuma, Daisuke, Mizuno, Hiroki, Oba, Yuki, Yamanouchi, Masayuki, Suwabe, Tatsuya, Sawa, Naoki, Kono, Kei, Kinowaki, Keiichi, Ohashi, Kenichi, Ubara, Yoshifumi, Hoshino, Junichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10125826/
https://www.ncbi.nlm.nih.gov/pubmed/36070955
http://dx.doi.org/10.2169/internalmedicine.9410-22
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author Hara, Risa
Hasegawa, Eiko
Inoue, Noriko
Sekine, Akinari
Tanaka, Kiho
Ikuma, Daisuke
Mizuno, Hiroki
Oba, Yuki
Yamanouchi, Masayuki
Suwabe, Tatsuya
Sawa, Naoki
Kono, Kei
Kinowaki, Keiichi
Ohashi, Kenichi
Ubara, Yoshifumi
Hoshino, Junichi
author_facet Hara, Risa
Hasegawa, Eiko
Inoue, Noriko
Sekine, Akinari
Tanaka, Kiho
Ikuma, Daisuke
Mizuno, Hiroki
Oba, Yuki
Yamanouchi, Masayuki
Suwabe, Tatsuya
Sawa, Naoki
Kono, Kei
Kinowaki, Keiichi
Ohashi, Kenichi
Ubara, Yoshifumi
Hoshino, Junichi
author_sort Hara, Risa
collection PubMed
description A 66-year-old man was admitted to our hospital because of a low-grade fever and arthralgia. The symptoms started on the third day after influenza vaccine administration and persisted for two months. Serum creatinine was 1.0 mg/dL; C-reactive protein, 16.1 mg/dL; and myeloperoxidase antineutrophil cytoplasmic antibodies (MPO-ANCA), 4,170 IU/mL. A kidney biopsy showed crescentic glomerulonephritis with fibrinoid necrosis of small arteries. Microscopic polyangiitis was diagnosed. After five months of steroid pulse therapy and rituximab administration, the patient entered remission. There have been very few reports of this condition after influenza vaccine administration.
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spelling pubmed-101258262023-04-26 Crescentic Glomerulonephritis with Fibrinoid Vasculitis after Administration of Influenza Vaccine Hara, Risa Hasegawa, Eiko Inoue, Noriko Sekine, Akinari Tanaka, Kiho Ikuma, Daisuke Mizuno, Hiroki Oba, Yuki Yamanouchi, Masayuki Suwabe, Tatsuya Sawa, Naoki Kono, Kei Kinowaki, Keiichi Ohashi, Kenichi Ubara, Yoshifumi Hoshino, Junichi Intern Med Case Report A 66-year-old man was admitted to our hospital because of a low-grade fever and arthralgia. The symptoms started on the third day after influenza vaccine administration and persisted for two months. Serum creatinine was 1.0 mg/dL; C-reactive protein, 16.1 mg/dL; and myeloperoxidase antineutrophil cytoplasmic antibodies (MPO-ANCA), 4,170 IU/mL. A kidney biopsy showed crescentic glomerulonephritis with fibrinoid necrosis of small arteries. Microscopic polyangiitis was diagnosed. After five months of steroid pulse therapy and rituximab administration, the patient entered remission. There have been very few reports of this condition after influenza vaccine administration. The Japanese Society of Internal Medicine 2022-09-06 2023-04-01 /pmc/articles/PMC10125826/ /pubmed/36070955 http://dx.doi.org/10.2169/internalmedicine.9410-22 Text en Copyright © 2023 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Hara, Risa
Hasegawa, Eiko
Inoue, Noriko
Sekine, Akinari
Tanaka, Kiho
Ikuma, Daisuke
Mizuno, Hiroki
Oba, Yuki
Yamanouchi, Masayuki
Suwabe, Tatsuya
Sawa, Naoki
Kono, Kei
Kinowaki, Keiichi
Ohashi, Kenichi
Ubara, Yoshifumi
Hoshino, Junichi
Crescentic Glomerulonephritis with Fibrinoid Vasculitis after Administration of Influenza Vaccine
title Crescentic Glomerulonephritis with Fibrinoid Vasculitis after Administration of Influenza Vaccine
title_full Crescentic Glomerulonephritis with Fibrinoid Vasculitis after Administration of Influenza Vaccine
title_fullStr Crescentic Glomerulonephritis with Fibrinoid Vasculitis after Administration of Influenza Vaccine
title_full_unstemmed Crescentic Glomerulonephritis with Fibrinoid Vasculitis after Administration of Influenza Vaccine
title_short Crescentic Glomerulonephritis with Fibrinoid Vasculitis after Administration of Influenza Vaccine
title_sort crescentic glomerulonephritis with fibrinoid vasculitis after administration of influenza vaccine
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10125826/
https://www.ncbi.nlm.nih.gov/pubmed/36070955
http://dx.doi.org/10.2169/internalmedicine.9410-22
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