Persistent varicella zoster virus infection following mRNA COVID-19 vaccination was associated with the presence of encoded spike protein in the lesion
Journal of Cutaneous Immunology and Allergy
; 6(1):18-23, 2023.
Article
in English
| ProQuest Central | ID: covidwho-2237202
ABSTRACT
BackgroundSince the campaign of vaccination against COVID-19 was started, a wide variety of cutaneous adverse effects after vaccination has been documented worldwide. Varicella zoster virus (VZV) reactivation was reportedly the most frequent cutaneous reaction in men after administration of mRNA COVID-19 vaccines, especially BNT162b2.AimsA patient, who had persistent skin lesions after BNT162b2 vaccination for such a long duration over 3 months, was investigated for VZV virus and any involvement of vaccine-derived spike protein.Materials & MethodsImmunohistochemistry for detection of VZV virus and the spike protein encoded by mRNA COVID-19 vaccine. PCR analysis for VZV virus.ResultsThe diagnosis of VZV infection was made for these lesions using PCR analyses and immunohistochemistry. Strikingly, the vaccine-encoded spike protein of the COVID-19 virus was expressed in the vesicular keratinocytes and endothelial cells in the dermis.DiscussionmRNA COVID-19 vaccination might induce persistent VZV reactivation through perturbing the immune system, although it remained elusive whether the expressed spike protein played a pathogenic role.ConclusionWe presented a case of persistent VZV infection following mRNA COVID-19 vaccination and the presence of spike protein in the affected skin. Further vigilance of the vaccine side effect and investigation for the role of SP is warranted.
Medical Sciences--Allergology And Immunology; mRNA COVID-19 vaccine; spike protein; varicella zoster virus reactivation; vasculitis; Chicken pox; Infections; Immunosuppressive agents; Histopathology; Human immunodeficiency virus--HIV; COVID-19 vaccines; Neutrophils; Antibodies; Severe acute respiratory syndrome coronavirus 2; Disease; Rheumatoid arthritis; Coronaviruses; Drug dosages; Proteins
Full text:
Available
Collection:
Databases of international organizations
Database:
ProQuest Central
Topics:
Vaccines
Language:
English
Journal:
Journal of Cutaneous Immunology and Allergy
Year:
2023
Document Type:
Article
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