Clinically suspected lethal viral myocarditis combined with encephalitis: a COVID-19 vaccine complication.

This case study aimed to identify rare viral myocarditis combined with encephalitis as a COVID-19 vaccine complication. A 59-year-old male patient with a 2 day history of headache and rapidly progressive cognitive decline, who had received the third dose of COVID-19 vaccine 12 days before, was admitted to our hospital. The patient had no underlying systemic conditions, no prior medical history, and no prior history of COVID-19 infection. The patient was diagnosed with viral myocarditis and encephalitis by two neurologists and two cardiologists after laboratory examination, head computed tomography, and magnetic resonance imaging evaluation. The patient experienced cardiogenic shock and developed severe arrhythmia, resulting in his death 10 h after admission. Clinically suspected lethal viral myocarditis combined with encephalitis in the patient could be related to COVID-19 vaccination. Adverse effects of the Chinese COVID-19 vaccine, especially serious complications, have been uncommon. This case study highlights a rare complication after COVID-19 vaccination that needs high attention.

The diagnosis and management of psoriasis patients under the outbreak of the new coronavirus pneumonia epidemic

The novel coronavirus pneumonia outbreak was seriously and showed a rapid spread of the transmission on December 2019. All parts of the country have been actively raising medical resources and methodically preventing and controlling the epidemic. In this particular situation, the control and follow-up of patients with chronic skin conditions, especially psoriasis patients need constant guidance and treatment. In addition, most patients have impaired skin barrier function, and the improper protection may increase susceptibility to the virus. Due to the need of prevention and control, travel restrictions initiative increased the mental tension, and the anxiety, depression and other psychological reactions from the psoriasis may further produce emotional tension and thus aggravate the disease. Therefore, guidance of uninterrupted effective treatment, establishing a good state of mind, maintaining patients' personal health and treatment, and improving the quality of life are important under the special occasion.