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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We would like to share ideas on the publication &#8220;A case of acute interstitial nephritis following the Pfizer-BioNTech COVID-19 vaccine&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a>&#8221; Flor Merino et al&#46; reported a case and discussed on possible pathophysiological interrelationship&#46; The COVID-19 vaccine can induce several atypical clinical adverse event and acute interstitial nephritis might be a possible one&#46; However&#44; it is necessary to recognize that there are other confounding factors that might result in the observed clinical problem&#46; Without a complete laboratory investigation at pre-vaccination stage&#44; it cannot rule out background medical problem&#46; Also&#44; the concurrent medical problem can occur in a COVID-19 vaccine recipient and might result in a renal problem&#46; A good example is the concurrent dengue infection&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Additionally&#44; the patient might have prior or concurrent asymptomatic COVID-19 that can alter the immune response to the vaccine&#46; Since asymptomatic COVID-19 is not uncommon and can be easily missed&#44;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> the exact conclusion on the present case is still not final&#46; It is necessary to have a complete investigation before a final conclusion&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">None&#46;</p></span></span>"
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