Guillain-Barré syndrome and fulminant encephalomyelitis following Ad26.COV2.S vaccination: double jeopardy.

Maria Ioanna Stefanou, Eleni Karachaliou, Maria Chondrogianni, Christos Moschovos, Eleni Bakola, Aikaterini Foska, Konstantinos Melanis, Elisabeth Andreadou, Konstantinos Voumvourakis, Matilda Papathanasiou, Eleni Boutati, Georgios Tsivgoulis
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引用次数: 9

Abstract

This correspondence comments on a published article presenting a case of rhombencephalitis following SARS-CoV-2-vaccination with the mRNA vaccine BNT162b2 (Pfizer/BioNTech). We also present the case of a 47-year-old man who developed Guillain-Barré-syndrome and a fulminant encephalomyelitis 28 days after immunization with Ad26.COV2.S (Janssen/Johnson & Johnson). Based on the presented cases, we underscore the importance of clinical awareness for early recognition of overlapping neuroimmunological syndromes following vaccination against SARS-CoV-2. Additionally, we propose that that role of autoantibodies against angiotensin-converting enzyme 2 (ACE2) and the cell-surface receptor neuropilin-1, which mediate neurological manifestations of SARS-CoV-2, merit further investigation in patients presenting with neurological disorders following vaccination against SARS-CoV-2.

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感染Ad26.COV2后的格林-巴利综合征和暴发性脑脊髓炎。接种疫苗:双重危险。
本通信评论了一篇发表的文章,该文章介绍了使用mRNA疫苗BNT162b2(辉瑞/BioNTech)接种sars - cov -2后出现的一个菱形脑炎病例。我们还报告了一名47岁的男子,他在接种Ad26.COV2后28天出现格林-巴雷氏综合征和暴发性脑脊髓炎。S(杨森/强生)。基于这些病例,我们强调临床意识对于在接种SARS-CoV-2疫苗后早期识别重叠神经免疫综合征的重要性。此外,我们建议针对血管紧张素转换酶2 (ACE2)和细胞表面受体neuropilin-1的自身抗体(介导SARS-CoV-2的神经系统表现)在接种SARS-CoV-2后出现神经系统疾病的患者中的作用值得进一步研究。
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