Fulminant Giant Cell Myocarditis following Heterologous Vaccination of ChAdOx1 nCoV-19 and Pfizer-BioNTech COVID-19

A 48-year-old female patient underwent a heart transplantation for acute fulminant myocarditis, following heterologous vaccination with the ChAdOx1 nCoV-19 and Pfizer-BioNTech COVID-19. She had no history of severe acute respiratory syndrome coronavirus-2 infection. She did not exhibit clinical sign...

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Main Authors: Dong-Hoon Kang, Joo-Young Na, Jun-Ho Yang, Seong-Ho Moon, Sung-Hwan Kim, Jae-Jun Jung, Ho-Jeong Cha, Jong-Hwa Ahn, Yong-Whi Park, Sang-Yeong Cho, Ho-Kyung Yu, Soo-Hee Lee, Mi-Yeong Park, Jong-Woo Kim, Joung-Hun Byun
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/58/3/449
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author Dong-Hoon Kang
Joo-Young Na
Jun-Ho Yang
Seong-Ho Moon
Sung-Hwan Kim
Jae-Jun Jung
Ho-Jeong Cha
Jong-Hwa Ahn
Yong-Whi Park
Sang-Yeong Cho
Ho-Kyung Yu
Soo-Hee Lee
Mi-Yeong Park
Jong-Woo Kim
Joung-Hun Byun
author_facet Dong-Hoon Kang
Joo-Young Na
Jun-Ho Yang
Seong-Ho Moon
Sung-Hwan Kim
Jae-Jun Jung
Ho-Jeong Cha
Jong-Hwa Ahn
Yong-Whi Park
Sang-Yeong Cho
Ho-Kyung Yu
Soo-Hee Lee
Mi-Yeong Park
Jong-Woo Kim
Joung-Hun Byun
author_sort Dong-Hoon Kang
collection DOAJ
description A 48-year-old female patient underwent a heart transplantation for acute fulminant myocarditis, following heterologous vaccination with the ChAdOx1 nCoV-19 and Pfizer-BioNTech COVID-19. She had no history of severe acute respiratory syndrome coronavirus-2 infection. She did not exhibit clinical signs or have laboratory findings of concomitant infection before or after vaccination. Heart transplantation was performed because her heart failed to recover with venoarterial extracorporeal oxygenation support. Organ autopsy revealed giant cell myocarditis, possibly related to the vaccines. Clinicians may have to consider the possibility of the development of giant cell myocarditis, especially in patients with rapidly deteriorating cardiac function and myocarditis symptoms after COVID-19 vaccination.
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spelling doaj.art-0690588427bb45f89f53eaced25f5f3c2023-11-30T21:27:12ZengMDPI AGMedicina1010-660X1648-91442022-03-0158344910.3390/medicina58030449Fulminant Giant Cell Myocarditis following Heterologous Vaccination of ChAdOx1 nCoV-19 and Pfizer-BioNTech COVID-19Dong-Hoon Kang0Joo-Young Na1Jun-Ho Yang2Seong-Ho Moon3Sung-Hwan Kim4Jae-Jun Jung5Ho-Jeong Cha6Jong-Hwa Ahn7Yong-Whi Park8Sang-Yeong Cho9Ho-Kyung Yu10Soo-Hee Lee11Mi-Yeong Park12Jong-Woo Kim13Joung-Hun Byun14Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University College of Medicine, Gyeongsang National University Changwon Hospital, 11, Samjeongja-ro, Seongsan-gu, Changwon 51472, KoreaDepartment of Forensic Medicine, Pusan National University School of Medicine, Yangsan 50612, KoreaDepartment of Thoracic and Cardiovascular Surgery, Gyeongsang National University College of Medicine, Gyeongsang National University Changwon Hospital, 11, Samjeongja-ro, Seongsan-gu, Changwon 51472, KoreaDepartment of Thoracic and Cardiovascular Surgery, Gyeongsang National University College of Medicine, Gyeongsang National University Changwon Hospital, 11, Samjeongja-ro, Seongsan-gu, Changwon 51472, KoreaDepartment of Thoracic and Cardiovascular Surgery, Gyeongsang National University College of Medicine, Gyeongsang National University Changwon Hospital, 11, Samjeongja-ro, Seongsan-gu, Changwon 51472, KoreaDepartment of Thoracic and Cardiovascular Surgery, Gyeongsang National University College of Medicine, Gyeongsang National University Changwon Hospital, 11, Samjeongja-ro, Seongsan-gu, Changwon 51472, KoreaDepartment of Thoracic and Cardiovascular Surgery, Gyeongsang National University College of Medicine, Gyeongsang National University Changwon Hospital, 11, Samjeongja-ro, Seongsan-gu, Changwon 51472, KoreaDepartment of Internal Medicine, Gyeongsang National University College of Medicine and Cardiovascular Center, Gyeongsang National University Changwon Hospital, Changwon 51472, KoreaDepartment of Internal Medicine, Gyeongsang National University College of Medicine and Cardiovascular Center, Gyeongsang National University Changwon Hospital, Changwon 51472, KoreaDepartment of Internal Medicine, Gyeongsang National University College of Medicine and Cardiovascular Center, Gyeongsang National University Changwon Hospital, Changwon 51472, KoreaDepartment of Anesthesiology and Pain Medicine, Gyeongsang National University College of Medicine, Gyeongsang National University Changwon Hospital, Changwon 51472, KoreaDepartment of Anesthesiology and Pain Medicine, Gyeongsang National University College of Medicine, Gyeongsang National University Changwon Hospital, Changwon 51472, KoreaDepartment of Anesthesiology and Pain Medicine, Gyeongsang National University College of Medicine, Gyeongsang National University Changwon Hospital, Changwon 51472, KoreaDepartment of Thoracic and Cardiovascular Surgery, Gyeongsang National University College of Medicine, Gyeongsang National University Changwon Hospital, 11, Samjeongja-ro, Seongsan-gu, Changwon 51472, KoreaDepartment of Thoracic and Cardiovascular Surgery, Gyeongsang National University College of Medicine, Gyeongsang National University Changwon Hospital, 11, Samjeongja-ro, Seongsan-gu, Changwon 51472, KoreaA 48-year-old female patient underwent a heart transplantation for acute fulminant myocarditis, following heterologous vaccination with the ChAdOx1 nCoV-19 and Pfizer-BioNTech COVID-19. She had no history of severe acute respiratory syndrome coronavirus-2 infection. She did not exhibit clinical signs or have laboratory findings of concomitant infection before or after vaccination. Heart transplantation was performed because her heart failed to recover with venoarterial extracorporeal oxygenation support. Organ autopsy revealed giant cell myocarditis, possibly related to the vaccines. Clinicians may have to consider the possibility of the development of giant cell myocarditis, especially in patients with rapidly deteriorating cardiac function and myocarditis symptoms after COVID-19 vaccination.https://www.mdpi.com/1648-9144/58/3/449COVID-19vaccinationgiant cell myocarditis
spellingShingle Dong-Hoon Kang
Joo-Young Na
Jun-Ho Yang
Seong-Ho Moon
Sung-Hwan Kim
Jae-Jun Jung
Ho-Jeong Cha
Jong-Hwa Ahn
Yong-Whi Park
Sang-Yeong Cho
Ho-Kyung Yu
Soo-Hee Lee
Mi-Yeong Park
Jong-Woo Kim
Joung-Hun Byun
Fulminant Giant Cell Myocarditis following Heterologous Vaccination of ChAdOx1 nCoV-19 and Pfizer-BioNTech COVID-19
Medicina
COVID-19
vaccination
giant cell myocarditis
title Fulminant Giant Cell Myocarditis following Heterologous Vaccination of ChAdOx1 nCoV-19 and Pfizer-BioNTech COVID-19
title_full Fulminant Giant Cell Myocarditis following Heterologous Vaccination of ChAdOx1 nCoV-19 and Pfizer-BioNTech COVID-19
title_fullStr Fulminant Giant Cell Myocarditis following Heterologous Vaccination of ChAdOx1 nCoV-19 and Pfizer-BioNTech COVID-19
title_full_unstemmed Fulminant Giant Cell Myocarditis following Heterologous Vaccination of ChAdOx1 nCoV-19 and Pfizer-BioNTech COVID-19
title_short Fulminant Giant Cell Myocarditis following Heterologous Vaccination of ChAdOx1 nCoV-19 and Pfizer-BioNTech COVID-19
title_sort fulminant giant cell myocarditis following heterologous vaccination of chadox1 ncov 19 and pfizer biontech covid 19
topic COVID-19
vaccination
giant cell myocarditis
url https://www.mdpi.com/1648-9144/58/3/449
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