中国药物警戒 ›› 2023, Vol. 20 ›› Issue (11): 1303-1305.
DOI: 10.19803/j.1672-8629.20220722

• 安全与合理用药 • 上一篇    下一篇

狂犬病疫苗致5岁儿童肾病综合征1例分析

赵欢欢1, 宋佳伟1,*, 刘金广2, 黄明辉2   

  1. 1亳州市人民医院临床药学中心,安徽 亳州 236800;
    2亳州市人民医院儿科,安徽 亳州 236800
  • 收稿日期:2022-12-13 出版日期:2023-11-15 发布日期:2023-11-13
  • 通讯作者: *宋佳伟,男,硕士,副主任药师,临床药学。E-mail: 403824516@qq.com
  • 作者简介:赵欢欢,女,本科,主管药师,临床药学。

One case of nephrotic syndrome caused by rabies vaccine in a 5-year-old child

ZHAO Huanhuan1, SONG Jiawei1,*, LIU Jinguang2, HUANG Minghui2   

  1. 1Clinical Pharmacy Center of Bozhou People’s Hospital,Bozhou Anhui 236800, China;
    2Department of Paediatrics, Bozhou People’s Hospital, Bozhou Anhui 236800, China
  • Received:2022-12-13 Online:2023-11-15 Published:2023-11-13

摘要: 目的 关注狂犬病疫苗不良事件,探讨其致儿童肾病综合征的不良反应。方法 通过分析1例接种狂犬病疫苗(Vero细胞)(PVRV)后引起儿童肾病综合征的病例,从药品不良反应相关性、疫苗不良事件因果关联性等方面进行讨论。结果 患者连续接种2针狂犬病疫苗后均出现发热;接种第1针后的第4天出现双眼睑水肿,第5天出现腹痛、呕吐,第8天水肿累及颜面部,第10天诊断为肾病综合征。第3针未予接种,同时对肾病综合征进行治疗。糖皮质激素使用3 d后水肿减轻,尿蛋白转阴。结论 PVRV与肾病综合征的因果关联为可能,应引起临床医师和药师的关注。建议过敏体质的儿童选择狂犬病疫苗(人二倍体细胞)(HDCV)。

关键词: 狂犬病, 狂犬病毒, 狂犬病疫苗(Vero细胞), 肾病综合征, 疫苗不良事件, 药品不良反应, 儿童

Abstract: Objective To study the adverse events of rabies vaccine and explore the adverse reactions among children with nephrotic syndrome. Methods By analyzing one case of nephrotic syndrome in children caused by rabies vaccine (Vero cells) (PVRV), the correlations with adverse drug reactions and the causal association of vaccine adverse events were discussed. Results Binocular eyelid edema appeared on the 4th day after the first dose, abdominal pain and vomiting on the 5th day, edema affected the face on the 8th day, and nephrotic syndrome was diagnosed on the 10th day. A third injection was not given, and the nephrotic syndrome was treated. After 3 days of medication with glucocorticoid, edema was mitigated and urine protein became negative. Conclusion A causal association between PVRV and nephrotic syndrome is possible and should be of concern to clinicians and pharmacists. Rabies vaccine (human diploid cells) is recommended for children with allergies.

Key words: rabies, rabies virus, rabies vaccine (Vero cells), nephrotic syndrome, adverse events following immunization, adverse drug reactions, child

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