COVID-19-Vaccination-Induced Myocarditis in Teenagers: Case Series with Further Follow-Up.

Presently, the whole globe is struggling the tough challenge of the COVID-19 pandemic. Vaccination remains the most effective and safe COVID-19 weapon for adults and in the paediatric population. Aside from possible mild and moderate post-vaccination side effects, more severe side effects may occur. We retrospectively analysed a group of 5 teenagers aged from 15 to 17 years with obesity/overweight (BMI ranging from 24.8 to 30) who presented typical myocarditis symptoms following the first or second dose (3 and 2 patients, respectively) of the COVID-19 vaccine. In the whole study group, a significant increase in troponin serum concentration was observed (1674-37,279.6 ng/L) with a further quick reduction within 3-4 days. In all patients, ST segments elevation or depression with repolarisation time abnormalities in electrocardiography were noticed. Chest X-ray results were within normal limits. Echocardiography showed normal left ventricular diameter (47-56.2 mm) with ejection fraction between 61-72%. All patients were diagnosed with myocarditis based on cardiac magnetic resonance (CMR) imaging. During further hospitalisation, swift clinical improvement was notable. Follow-up in the whole study group was obtained after 106-134 days from initial CMR, revealing no myocarditis symptoms, proper troponin level, and no ECG or echocardiographic abnormalities. At the same time, persistent myocardium injury features were detected in the whole study group, including ongoing myocarditis. COVID-19-vaccine-induced myocarditis seems to be a mild disease with fast clinical recovery, but the complete resolution of the inflammatory process may last over 3 months. Further follow-up and investigation for assessing subsequent implications and long-term COVID-19-vaccine-induced myocarditis is required.

Cladotanytarsus saetheri sp. nov. and C. gedanicus Gilka: Holarctic sibling species (Diptera: Chironomidae).

Cladotanytarsus saetheri, sp. nov., a widely distributed species (Fennoscandia; Russia: Far East; Canada: Manitoba; USA: Colorado, Michigan, South Carolina, Wisconsin) is described and compared with C. gedanicus Gilka, 2001 on the basis of new records (Fennoscandia; Canada: Manitoba, Nunavut; USA: Colorado, New Mexico). Intraspecific morphological variability of adult males is presented in order to delimit the two previously misidentified species.

Cladotanytarsus Kieffer (Diptera: Chironomidae): several distinctive species reviewed on the basis of records from Canada and USA.

Two species of the genus Cladotanytarsus Kieffer, 1921 are described as adult males, both peculiar in having distinctively elongated hypopygial anal points. The male of Cladotanytarsus bilyji Gilka et Puchalski, sp. nov. (Canada, Manitoba; USA, Ohio) is presumed to be a close relative of C. nigrovittatus (Goetghebuer, 1922). Another unknown Cladotanytarsus species (USA, Illinois and Louisiana) keys with the European C. donmcbeani Langton et McBean, 2010. The intraspecific variability of the male C. acornutus Jacobsen et Bilyj, 2007 is also presented on the basis of new records (Canada, Ontario; USA, South Carolina). Cladotanytarsus males with similarly structured elongate anal points are reviewed, including C. tobaquardecimus Kikuchi et Sasa, 1990, considered a junior synonym (syn. nov.) of C. conversus (Johannsen, 1932). As a compilation of this study, a key to the identification of the adult males of 14 Cladotanytarsus species is provided.

A new species of Cladotanytarsus (Lenziella) from Oregon supports the systematic concept of the subgenus (Diptera: Chironomidae).

A new species of the genus Cladotanytarsus Kieffer, 1921 and the small subgenus Lenziella Kieffer, 1922 is described from Southern Oregon, USA. The adult male of C. (L.) glaber Gilka et Puchalski, sp. nov., featuring tibial lobes armed with dense setae and a large globular swelling of the hypopygial inferior volsella, supports the recently defined systematic concept for Lenziella. This subgenus is known from seven species distributed in the Northern Hemisphere (1 European, 1 Palaearctic and 5 Nearctic), the males of which are included in an updated identification key.