Acute autoimmune transverse myelitis following COVID-19 vaccination: A case report.
Medicine (Baltimore)
; 100(51): e28423, 2021 Dec 23.
Article
in English
| MEDLINE | ID: covidwho-1594101
ABSTRACT
RATIONALE Transverse myelitis is an infectious or noninfectious inflammatory spinal cord syndrome. We report a rare case of transverse myelitis following vaccination against COVID-19. PATIENT CONCERNS A 70-year-old male presented with progressive sensorimotor dysfunction of the bilateral lower limbs 7âdays after receiving the mRNA-1273 vaccine against COVID-19. Spinal magnetic resonance imaging revealed intramedullary lesions with gadolinium enhancement on the Th1/2 and Th5/6 vertebral levels. Cerebrospinal fluid (CSF) testing showed a mildly increased level of total protein and positive oligoclonal bands (OCB). DIAGNOSIS The patient was diagnosed with acute transverse myelitis. INTERVENTION The patient received 5âdays of intravenous methylprednisolone pulse (1000âmg/day) followed by oral prednisolone (30âmg/day with gradual tapering). OUTCOMES:
The patient fully recovered from muscle weakness of the lower limbs. He was discharged from our hospital and able to independently walk without unsteadiness. LESSON This is a rare case of transverse myelitis following COVID-19 vaccination. Positive OCB in CSF in the present case highlights the possibility of autoimmune processes, including polyclonal activation of B lymphocytes, following vaccination.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Vaccination
/
COVID-19
/
2019-nCoV Vaccine mRNA-1273
/
Myelitis, Transverse
Type of study:
Case report
/
Observational study
Topics:
Vaccines
Limits:
Aged
/
Humans
/
Male
Language:
English
Journal:
Medicine (Baltimore)
Year:
2021
Document Type:
Article
Affiliation country:
Md.0000000000028423
Similar
MEDLINE
...
LILACS
LIS