{"id":3044,"date":"2021-07-08T08:35:01","date_gmt":"2021-07-08T06:35:01","guid":{"rendered":"https:\/\/cendoc.h12o.es\/blog\/?p=3044"},"modified":"2021-07-08T08:35:01","modified_gmt":"2021-07-08T06:35:01","slug":"nefritis-tubulointersticial-relacionada-con-vacuna-covid-19","status":"publish","type":"post","link":"https:\/\/cendoc.h12o.es\/blog\/2021\/07\/08\/nefritis-tubulointersticial-relacionada-con-vacuna-covid-19\/","title":{"rendered":"Nefritis tubulointersticial relacionada con vacuna COVID-19"},"content":{"rendered":"<p data-adtags-visited=\"true\">Marina Alonso Ria\u00f1o, del Servicio de Anatom\u00eda Patol\u00f3gica del Hospital 12 de Octubre, es una de las firmantes de una carta al director publicada en <em>Nefrolog\u00eda<\/em> sobre un<img loading=\"lazy\" decoding=\"async\" class=\" wp-image-3871 alignright\" src=\"https:\/\/coronavirusbiblioh12o.files.wordpress.com\/2020\/05\/logo12.jpg?w=266&amp;h=177\" srcset=\"https:\/\/coronavirusbiblioh12o.files.wordpress.com\/2020\/05\/logo12.jpg?w=266&amp;h=177&amp;zoom=2 1.5x\" alt=\"logo12\" width=\"266\" height=\"177\" data-attachment-id=\"3871\" data-permalink=\"https:\/\/coronavirusbiblioh12o.wordpress.com\/2020\/05\/06\/7-mas-del-h12o\/logo12\/\" data-orig-file=\"https:\/\/coronavirusbiblioh12o.files.wordpress.com\/2020\/05\/logo12.jpg\" data-orig-size=\"275,183\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"logo12\" data-image-description=\"\" data-medium-file=\"https:\/\/coronavirusbiblioh12o.files.wordpress.com\/2020\/05\/logo12.jpg?w=275\" data-large-file=\"https:\/\/coronavirusbiblioh12o.files.wordpress.com\/2020\/05\/logo12.jpg?w=275\" \/> <a href=\"https:\/\/reader.elsevier.com\/reader\/sd\/pii\/S0211699521001156?token=E42D3F29E9A04DD5EF0DFA25EE8E41658C6189CD444F47929F5A20BDA6D9A0F6A4BCEF2FC98F4F8F3B3518E99A1E89F6&amp;originRegion=eu-west-1&amp;originCreation=20210708052941\" target=\"_blank\" rel=\"noopener\">caso de nefritis tubulointersticial aguda despu\u00e9s de recibir la vacuna BioNTech<\/a>.<\/p>\n<p data-adtags-visited=\"true\">Los autores describen el caso de un var\u00f3n de 78 a\u00f1os con enfermedad renal cr\u00f3nica y otras comorbilidades como hipertensi\u00f3n y diabetes mellitus. El paciente relata padecer leve hiporexia y astenia tres semanas despu\u00e9s de haber recibido la primera dosis de la vacuna BNT162bs contra la COVID-19. 48 horas antes del ingreso hab\u00eda recibido la segunda dosis sin sintomatolog\u00eda adicional rese\u00f1able. Los hallazgos de la biopsia renal desvelaron s\u00edntomas compatibles con el diagn\u00f3stico patol\u00f3gico de nefropat\u00eda intersticial inmunoal\u00e9rgica. Dadas las caracter\u00edsticas cl\u00ednicas del paciente y el hecho de haber sido vacunado recientemente, los autores describen este caso como una nefritis tubulointersticial aguda inducida por la vacuna BNT162b2. Se inici\u00f3 tratamiento con metilprednisolona y prednisona, que se fue disminuyendo e interrumpi\u00f3 despu\u00e9s de 6 semanas, y ante la ausencia de recuperaci\u00f3n renal se pas\u00f3 a hemodi\u00e1lisis.<\/p>\n<p data-adtags-visited=\"true\">A pesar de la utilidad de la vacunaci\u00f3n, los autores se\u00f1alan lo relevante de sus hallazgos anatomopatol\u00f3gicos en este caso cl\u00ednico, aunque siempre es dif\u00edcil vincular la causalidad en casos de nefritis ocasionadas por la administraci\u00f3n de un f\u00e1rmaco o una vacuna. En consecuencia, la identificaci\u00f3n y vigilancia de efectos adversos atribuibles a las vacunas contra la COVID-19 debe ser una prioridad de salud p\u00fablica.<\/p>\n<p data-adtags-visited=\"true\"><em>Equipo Biblioteca H12O <\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Marina Alonso Ria\u00f1o, del Servicio de Anatom\u00eda Patol\u00f3gica del Hospital 12 de Octubre, es una de las firmantes de una carta al director publicada en Nefrolog\u00eda sobre un caso de nefritis tubulointersticial aguda despu\u00e9s de recibir la vacuna BioNTech. Los autores describen el caso de un var\u00f3n de 78 a\u00f1os \u2026<\/p>\n<p class=\"continue-reading-button\"> <a class=\"continue-reading-link\" href=\"https:\/\/cendoc.h12o.es\/blog\/2021\/07\/08\/nefritis-tubulointersticial-relacionada-con-vacuna-covid-19\/\">Continuar leyendo<i class=\"crycon-right-dir\"><\/i><\/a><\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2}},"categories":[4,64,46],"tags":[],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p3G9TJ-N6","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/cendoc.h12o.es\/blog\/wp-json\/wp\/v2\/posts\/3044"}],"collection":[{"href":"https:\/\/cendoc.h12o.es\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cendoc.h12o.es\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cendoc.h12o.es\/blog\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/cendoc.h12o.es\/blog\/wp-json\/wp\/v2\/comments?post=3044"}],"version-history":[{"count":1,"href":"https:\/\/cendoc.h12o.es\/blog\/wp-json\/wp\/v2\/posts\/3044\/revisions"}],"predecessor-version":[{"id":3045,"href":"https:\/\/cendoc.h12o.es\/blog\/wp-json\/wp\/v2\/posts\/3044\/revisions\/3045"}],"wp:attachment":[{"href":"https:\/\/cendoc.h12o.es\/blog\/wp-json\/wp\/v2\/media?parent=3044"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cendoc.h12o.es\/blog\/wp-json\/wp\/v2\/categories?post=3044"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cendoc.h12o.es\/blog\/wp-json\/wp\/v2\/tags?post=3044"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}