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Not only lymphadenopathy: case of chest lymphangitis assessed with MRI after COVID 19 vaccine.
Granata, Vincenza; Fusco, Roberta; Vallone, Paolo; Setola, Sergio Venanzio; Picone, Carmine; Grassi, Francesca; Patrone, Renato; Belli, Andrea; Izzo, Francesco; Petrillo, Antonella.
  • Granata V; Division of Radiology, "Istituto Nazionale Tumori IRCCS Fondazione Pascale - IRCCS di Napoli", Naples, Italy. v.granata@istitutotumori.na.it.
  • Fusco R; Medical Oncology Division, Igea SpA, Naples, Italy.
  • Vallone P; Division of Radiology, "Istituto Nazionale Tumori IRCCS Fondazione Pascale - IRCCS di Napoli", Naples, Italy.
  • Setola SV; Division of Radiology, "Istituto Nazionale Tumori IRCCS Fondazione Pascale - IRCCS di Napoli", Naples, Italy.
  • Picone C; Division of Radiology, "Istituto Nazionale Tumori IRCCS Fondazione Pascale - IRCCS di Napoli", Naples, Italy.
  • Grassi F; Italian Society of Medical and Interventional Radiology (SIRM), SIRM Foundation, Via della Signora 2, 20122, Milan, Italy.
  • Patrone R; Division of Radiology, "Università degli Studi della Campania Luigi Vanvitelli", Naples, Italy.
  • Belli A; Division of Hepatobiliary Surgical Oncology, "Istituto Nazionale Tumori IRCCS Fondazione Pascale - IRCCS di Napoli", Naples, Italy.
  • Izzo F; Division of Hepatobiliary Surgical Oncology, "Istituto Nazionale Tumori IRCCS Fondazione Pascale - IRCCS di Napoli", Naples, Italy.
  • Petrillo A; Division of Hepatobiliary Surgical Oncology, "Istituto Nazionale Tumori IRCCS Fondazione Pascale - IRCCS di Napoli", Naples, Italy.
Infect Agent Cancer ; 17(1): 8, 2022 Mar 17.
Article in English | MEDLINE | ID: covidwho-1745435
ABSTRACT

BACKGROUND:

To date, no paper reports cases of lymphangitis after COVID 19 vaccination. We present a case of lymphangitis after vaccination from COVID 19, in a patient with colorectal liver metastases.

METHODS:

We described the case of a 56-year-old woman with history of a surgical resection of colorectal cancer and liver metastases, without any kind of drug therapy for about a month. In addition, a recent administration (2 days ago) of Spikevax (mRNA-1273, Moderna vaccine), as a booster dose, on the right arm was reported.

RESULTS:

The magnetic resonance (MR) examination showed the effects of the previous surgical resection and five new hepatic metastases, located in the VIII, VI, V, IV and II hepatic segments. As an accessory finding the presence of lymphadenopathy in the axillary area and lymphangitis of the right breast and chest were identified. The computed tomography scan performed a week earlier, and re-evaluated in light of the MR data, did not identify the presence of lymphadenopathy in the axillary area and lymphangitis signs.

CONCLUSIONS:

Lymphangitis could occur after COVID 19 vaccine and it is important to know this data to avoid alarmism in patients and clinicians and economic waste linked to the execution of various radiological investigations for the search for a tumour that probably does not exist. TRIAL REGISTRATION Not applicable.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study / Randomized controlled trials Topics: Vaccines Language: English Journal: Infect Agent Cancer Year: 2022 Document Type: Article Affiliation country: S13027-022-00419-1

Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study / Randomized controlled trials Topics: Vaccines Language: English Journal: Infect Agent Cancer Year: 2022 Document Type: Article Affiliation country: S13027-022-00419-1