Evidence map›Paper›PMID 34451509›Full record

ArticlePathogens (Basel, Switzerland)2021

Renal Thrombotic Microangiopathy in Concurrent COVID-19 Vaccination and Infection.

Marco De Fabritiis, Maria Laura Angelini, Benedetta Fabbrizio, Giovanna Cenacchi, Claudio Americo, Stefania Cristino, Maria Francesca Lifrieri, Maria Cappuccilli, Alessandra Spazzoli, Loretta Zambianchi and 1 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Pathogens (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 27 citations in OpenAlex.

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  16. Renal Complications Following COVID-19 Vaccination: A Narrative Literature Review.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Marco De FabritiisNephrology and Dialysis Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, 47121 Forlì, Italy.
Maria Laura AngeliniNephrology and Dialysis Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, 47121 Forlì, Italy.ORCID 0000-0002-5606-7218
Benedetta FabbrizioPathology Unit, IRCCS-Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy.
Giovanna CenacchiDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum University of Bologna, 40138 Bologna, Italy.ORCID 0000-0001-5824-3118
Claudio AmericoNephrology and Dialysis Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, 47121 Forlì, Italy.
Stefania CristinoNephrology and Dialysis Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, 47121 Forlì, Italy.
Maria Francesca LifrieriNephrology and Dialysis Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, 47121 Forlì, Italy.
Maria CappuccilliNephrology, Dialysis and Renal Transplant Unit, IRCCS-Azienda Ospedaliero-Universitaria di Bologna, Alma Mater Studiorum University of Bologna, 40138 Bologna, Italy.ORCID 0000-0002-2592-9532
Alessandra SpazzoliNephrology and Dialysis Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, 47121 Forlì, Italy.
Loretta ZambianchiNephrology and Dialysis Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, 47121 Forlì, Italy.
Giovanni MosconiNephrology and Dialysis Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, 47121 Forlì, Italy.
Ospedale G.B. Morgagni - L.Pierantoni · ITAzienda USL di Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report on the development of nephrotic proteinuria and microhematuria, with histological features of renal thrombotic microangiopathy (TMA), following the first dose of BNT162b2 COVID-19 vaccine (Pfizer-BioNTech) and COVID-19 diagnosis. A 35-year-old previously healthy man was admitted at our hospital due to the onset of foamy urine. Previously, 40 days earlier, he had received the first injection of the vaccine, and 33 days earlier, the RT-PCR for SARS-CoV-2 tested positive. Laboratory tests showed nephrotic proteinuria (7.9 gr/day), microhematuria, serum creatinine 0.91 mg/dL. Kidney biopsy revealed ultrastructural evidence of severe endothelial cell injury suggestive of a starting phase of TMA. After high-dose steroid treatment administration, complete remission of proteinuria was achieved in a few weeks. The association of COVID-19 with renal TMA has been previously described only in patients with acute renal injury. Besides, the correlation with COVID-19 vaccine has not been reported so far. The close temporal proximity (7 days) between the two events opens the question whether the histological findings should be ascribed to COVID-19 itself or to vaccine injection.

Indexed as

COVID-19 vaccinationendothelial injurykidney diseaseSARS-CoV-2 infectionthrombotic microangiopathy

Identifiers

PMID34451509
PMCPMC8400339
OpenAlexW3193537730

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.