Persistent Fever after COVID-19 Vaccination in a Patient with Ulcerative Colitis: A Call for Attention.

IF 1 Q4 GASTROENTEROLOGY & HEPATOLOGY GE Portuguese Journal of Gastroenterology Pub Date : 2023-06-15 eCollection Date: 2024-04-01 DOI:10.1159/000530834
Cláudio Melo Rodrigues, Ana Catarina Carvalho, Sofia Ventura, Ângela Pinto Domingues, Américo Silva, Paula Ministro
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Abstract

The development of vaccinations has been game-changing in the ongoing effort to combat the COVID-19 pandemic. Until now, adverse effects are being reported at low frequency, including thrombocytopenia and myocarditis. Careful monitoring for any suspicious symptoms and signs following vaccination is necessary. We report a case of hemophagocytic lymphohistiocytosis (HLH) after mRNA COVID-19 vaccine in a 23-year-old female with ulcerative colitis. Diagnosis was made according to HLH-2004 criteria and the patient was treated with dexamethasone with response. Our report aimed to draw attention to the potential relation between COVID-19 vaccines and HLH and the necessity of continued surveillance, especially in at-risk populations such as those with underlying immune dysregulation.

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一名溃疡性结肠炎患者接种 COVID-19 疫苗后持续发热:呼吁关注。
在抗击 COVID-19 大流行的持续努力中,疫苗的开发改变了游戏规则。到目前为止,不良反应的报告频率较低,包括血小板减少和心肌炎。接种疫苗后有必要对任何可疑症状和体征进行仔细监测。我们报告了一例接种 mRNA COVID-19 疫苗后出现嗜血细胞淋巴组织细胞增多症(HLH)的病例,患者是一名 23 岁的女性,患有溃疡性结肠炎。诊断是根据 HLH-2004 标准做出的,患者接受了地塞米松治疗,治疗效果良好。我们的报告旨在提请人们注意 COVID-19 疫苗与 HLH 之间的潜在关系,以及持续监测的必要性,特别是在高危人群中,如那些有潜在免疫失调的人群。
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来源期刊
GE Portuguese Journal of Gastroenterology
GE Portuguese Journal of Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
1.60
自引率
11.10%
发文量
62
审稿时长
21 weeks
期刊介绍: The ''GE Portuguese Journal of Gastroenterology'' (formerly Jornal Português de Gastrenterologia), founded in 1994, is the official publication of Sociedade Portuguesa de Gastrenterologia (Portuguese Society of Gastroenterology), Sociedade Portuguesa de Endoscopia Digestiva (Portuguese Society of Digestive Endoscopy) and Associação Portuguesa para o Estudo do Fígado (Portuguese Association for the Study of the Liver). The journal publishes clinical and basic research articles on Gastroenterology, Digestive Endoscopy, Hepatology and related topics. Review articles, clinical case studies, images, letters to the editor and other articles such as recommendations or papers on gastroenterology clinical practice are also considered. Only articles written in English are accepted.
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