Reversible Autoimmune Cardiomyopathy Secondary to a Vaccine-Induced Multisystem Inflammatory Syndrome.

Autor:	Urena Neme AP; Cardiology, Medicina Cardiovascular Asociada, Distrito Nacional, DOM., De Camps Martinez ER; Cardiology, Medicina Cardiovascular Asociada, Distrito Nacional, DOM., Matos Noboa C; Cardiology, Medicina Cardiovascular Asociada, Distrito Nacional, DOM., Rodriguez Guerra MA; Medicine, Montefiore Medical Center Albert Einstein College of Medicine, Bronx, USA., Ureña P; Interventional Cardiology, Medicina Cardiovascular Asociada, Distrito Nacional, DOM.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 May 20; Vol. 14 (5), pp. e25170. Date of Electronic Publication: 2022 May 20 (Print Publication: 2022).
DOI:	10.7759/cureus.25170
Abstrakt:	The Dominican government started an early booster protocol, including a heterogeneous vaccination sequence needed based on availability. We report a case of a 25-year-old male who presented with jaundice, and vomiting for 6 days, associated with maculopapular rash (Mucocutaneous features), elevated pro-B-type natriuretic peptide (pro-BNP), erythrocyte sedimentation rate (ESR), transaminitis (> 1000 U/L), thrombocytopenia, echocardiogram evidenced stigmata of heart failure after his third dose of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccination. He was started on steroids and immunoglobulin therapy for multisystemic organ failure syndrome. A significant improvement was noticed, then was discharge; in the post-discharge clinic, he was asymptomatic, inflammatory markers improved, and the echocardiogram showed a recovered ejection fraction. An accurate anamnesis, including a proper chronologic gathering of the events, is essential to recognize a vaccine-multisystem inflammatory syndrome; its prompt assessment and therapy would directly improve the outcome. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Urena Neme et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu