Display options
Share it on

Clin Kidney J. 2015 Jun;8(3):325-8. doi: 10.1093/ckj/sfv027. Epub 2015 May 06.

Influenza virus vaccination and kidney graft rejection: causality or coincidence.

Clinical kidney journal

Anne Sophie Lind Fischer, Bjarne Kuno Møller, Søren Krag, Bente Jespersen, Hewett

Affiliations

  1. Department of Nephrology , Aarhus University Hospital, Skejby , Århus N DK-8200 , Denmark.
  2. Department of Clinical Immunology , Aarhus University Hospital, Skejby , Aarhus N DK-8200 , Denmark.
  3. Department of Pathology , Aarhus University Hospital , Aarhus N DK-8200 , Denmark.

PMID: 26034595 PMCID: PMC4440474 DOI: 10.1093/ckj/sfv027

Abstract

Influenza can cause significant morbidity and mortality in renal transplant recipients especially with a high rate of lower respiratory disease. Annual influenza vaccination is therefore recommended to renal transplant recipients. We report the first three cases of acute kidney injury in renal transplant recipients following influenza vaccination that all led to graft loss. They all had different native diseases and were all vaccinated in the same season of 2009-10. The time span from vaccination to decline of kidney function is shorter than the time to diagnosis since the three patients only had blood tests every 3 months or when symptoms became severe. These reports do not justify a change of current recommendations regarding influenza vaccination in renal transplant recipients, but they support the continued attention and registration of vaccinations to monitor side effects.

Keywords: acute kidney injury; influenza vaccination; kidney graft rejection; renal transplant recipient

References

  1. BMJ Case Rep. 2010 Oct 04;2010:null - PubMed
  2. Antivir Ther. 2012;17(5):893-903 - PubMed
  3. Clin Microbiol Rev. 2003 Jul;16(3):357-64 - PubMed
  4. Expert Rev Vaccines. 2013 Jul;12(7):715-7 - PubMed
  5. Am J Transplant. 2011 Oct;11(10):2020-30 - PubMed
  6. J Clin Neuromuscul Dis. 2013 Mar;14(3):117-22 - PubMed
  7. JAMA. 2012 May 9;307(18):1941-51 - PubMed
  8. J Pediatr Ophthalmol Strabismus. 2013 Jan-Feb;50(1):61 - PubMed
  9. Nephrol Dial Transplant. 2006 Feb;21(2):530-1 - PubMed
  10. BMJ Case Rep. 2012 Nov 28;2012:null - PubMed
  11. Clin Kidney J. 2013 Jun;6(3):313-5 - PubMed
  12. Clin Infect Dis. 2011 Jan 15;52(2):248-56 - PubMed
  13. J Infect Dis. 2012 Sep 15;206(6):811-20 - PubMed
  14. Am J Kidney Dis. 2010 Jul;56(1):185-6 - PubMed
  15. Isr Med Assoc J. 2012 Nov;14(11):705-7 - PubMed
  16. Am J Transplant. 2011 Aug;11(8):1727-33 - PubMed

Publication Types