A case of uveitis associated with novel corona-virus inactivated vaccine engineered CHO cells: A case report

Caihui Liu, Bozhou Zhang, Tong Bao, Nyasha Grace Mudoti, Yihan Liu, Xiaoguang Zhang, Yajun Yang, Yunlei Pang
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Abstract

The pathogenesis and course of recombinant Corona Virus Disease 2019 vaccine (CHO cell) associated uveitis is rarely seen in clinical practice, thus, it is difficult and time-consuming to diagnose. An adult female patient suffered from binocular visual impairment after receiving the Corona Virus Disease 2019 vaccine. The patient was healthy and had no family history of retinal dystrophy previously. This case showed the following features in multimodal imaging including scattered speckled fluorescein leakage was seen around the optic disc, and the leakage was slightly enhanced in the later stage. The macular area showed about 4 papillary diameter size discoid retinal detachment area fluorescein pool staining. Optical coherence tomography showed retinal choroidal folds above the optic disc, a small amount of fluid under the neuroepithelial layer, and serous detachment of the neuroepithelial layer in the macular area. Posterior uveitis of both eyes. Orally Maizhiling, Ginkgo biloba leaves, and multivitamins. After treatment, the symptoms of the patient were significantly improved, and optical coherence tomography reexamination showed exudation had been absorbed. The injection of a novel coronavirus-inactivated vaccine (CHO cell) can lead to potential uveitis disorders, which is worthy of clinical attention, but the prognosis of patients is good.
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一例与新型电晕病毒灭活疫苗工程CHO细胞相关的葡萄膜炎病例:病例报告
重组科罗娜病毒病2019疫苗(CHO细胞)相关葡萄膜炎的发病机制和病程在临床实践中很少见,因此诊断困难且费时。 一名成年女性患者在接种日冕病毒病 2019 疫苗后出现双眼视力障碍。该患者身体健康,以前没有视网膜营养不良的家族史。该病例在多模态成像中表现出以下特征:视盘周围可见散在斑点状荧光素渗漏,渗漏在后期略有增强。黄斑区出现约 4 个乳头直径大小的盘状视网膜脱离区荧光素池染色。光学相干断层扫描显示视盘上方有视网膜脉络膜皱褶,神经上皮层下有少量积液,黄斑区神经上皮层有浆液性脱离。 双眼后葡萄膜炎。 口服麦孜林、银杏叶和多种维生素。 治疗后,患者症状明显好转,光学相干断层扫描复查显示渗出物已被吸收。 注射新型冠状病毒灭活疫苗(CHO细胞)可导致潜在的葡萄膜炎病变,值得临床重视,但患者预后良好。
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