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Fulminant Myocarditis and Acute Appendicitis after COVID-19 Vaccination: A Case Report.
Kawano, Hiroaki; Yamamoto, Nobu; Kurohama, Hirokazu; Okano, Shinji; Kurobe, Masaya; Honda, Tomohiro; Akashi, Ryohei; Yonekura, Tsuyoshi; Ikeda, Satoshi; Izumikawa, Koichi; Maemura, Koji.
  • Kawano H; Department of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan.
  • Yamamoto N; Department of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan.
  • Kurohama H; Department of Pathology, Nagasaki University Hospital, Japan.
  • Okano S; Department of Pathology, Nagasaki University Hospital, Japan.
  • Kurobe M; Department of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan.
  • Honda T; Department of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan.
  • Akashi R; Department of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan.
  • Yonekura T; Department of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan.
  • Ikeda S; Department of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan.
  • Izumikawa K; Infection Control and Education Center, Nagasaki University Hospital, Japan.
  • Maemura K; Department of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Intern Med ; 2022 Nov 23.
Article in English | MEDLINE | ID: covidwho-2231730
ABSTRACT
A 19-year-old Japanese man was hospitalized for cardiogenic shock 28 days after receiving a second dose of the COVID-19 mRNA-1273 vaccine. He had had a high fever for three days with vomiting and abdominal pain before arriving at our hospital. The patient visited a local hospital and was diagnosed with heart failure and acute appendicitis. An endomyocardial biopsy specimen showed myocarditis. Thereafter, Impella CP left ventricular assist device implantation and venoarterial peripheral extracorporeal membranous oxygenation were initiated immediately along with inotropic support and steroid pulse therapy. Given these findings, he was finally diagnosed with multiple inflammatory syndrome and fulminant myocarditis.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report Topics: Vaccines Language: English Journal subject: Internal Medicine Year: 2022 Document Type: Article Affiliation country: Internalmedicine.0680-22

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report Topics: Vaccines Language: English Journal subject: Internal Medicine Year: 2022 Document Type: Article Affiliation country: Internalmedicine.0680-22