Secondary Immune Thrombocytopenia (ITP) Associated with ChAdOx1 Covid-19 Vaccination – A Case Report

Novel mRNA and vector-based covid-19 vaccinations have shown high efficacy in preventing symptomatic COVID-19 infections. Compared with the number of performed vaccinations, rates of severe side effects seem low. Rare prothrombotic coagulation disorders with suspected association to ChAdOx1 nCoV-19...

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Main Authors: Martin Koch, Sybille Fuld, Jan M. Middeke, Julia Fantana, Simone von Bonin, Jan Beyer-Westendorf
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2021-07-01
Series:TH Open
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1731774
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author Martin Koch
Sybille Fuld
Jan M. Middeke
Julia Fantana
Simone von Bonin
Jan Beyer-Westendorf
author_facet Martin Koch
Sybille Fuld
Jan M. Middeke
Julia Fantana
Simone von Bonin
Jan Beyer-Westendorf
author_sort Martin Koch
collection DOAJ
description Novel mRNA and vector-based covid-19 vaccinations have shown high efficacy in preventing symptomatic COVID-19 infections. Compared with the number of performed vaccinations, rates of severe side effects seem low. Rare prothrombotic coagulation disorders with suspected association to ChAdOx1 nCoV-19 (AstraZeneca) have been reported. These cases have gathered considerable media attention and caused a temporary pause of usage of the AstraZeneca vaccine in Europe and several other countries and are currently discussed as vaccine-induced immune thrombotic thrombocytopenia (VITT). However, hemorrhagic complications from ChAdOx1 nCoV-19 vaccination have also been reported but, so far, received less public attention despite considerable potential for life-threatening complications. Here we present a case of severe immune thrombocytopenia after ChAdOx1 covid-19 vaccination and its successful primary management.
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spelling doaj.art-3804292503c346628f451b185d84ffc32022-12-21T21:31:12ZengGeorg Thieme Verlag KGTH Open2512-94652021-07-010503e315e31810.1055/s-0041-1731774Secondary Immune Thrombocytopenia (ITP) Associated with ChAdOx1 Covid-19 Vaccination – A Case ReportMartin Koch0Sybille Fuld1Jan M. Middeke2Julia Fantana3Simone von Bonin4Jan Beyer-Westendorf5Department of Medicine, Hematology Division, University Hospital Carl Gustav Carus, Dresden, GermanyDepartment of Medicine, Nephrology Division, University Hospital Carl Gustav Carus, Dresden, GermanyDepartment of Medicine, Hematology Division, University Hospital Carl Gustav Carus, Dresden, GermanyDepartment of Medicine, Emergency and Intensive Medicine Division, University Hospital Carl Gustav Carus, Dresden, GermanyDepartment of Medicine, Emergency and Intensive Medicine Division, University Hospital Carl Gustav Carus, Dresden, GermanyDepartment of Medicine, Hematology Division, University Hospital Carl Gustav Carus, Dresden, GermanyNovel mRNA and vector-based covid-19 vaccinations have shown high efficacy in preventing symptomatic COVID-19 infections. Compared with the number of performed vaccinations, rates of severe side effects seem low. Rare prothrombotic coagulation disorders with suspected association to ChAdOx1 nCoV-19 (AstraZeneca) have been reported. These cases have gathered considerable media attention and caused a temporary pause of usage of the AstraZeneca vaccine in Europe and several other countries and are currently discussed as vaccine-induced immune thrombotic thrombocytopenia (VITT). However, hemorrhagic complications from ChAdOx1 nCoV-19 vaccination have also been reported but, so far, received less public attention despite considerable potential for life-threatening complications. Here we present a case of severe immune thrombocytopenia after ChAdOx1 covid-19 vaccination and its successful primary management.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1731774thrombocytopeniaplatelet pathology / inheritedaquiredinfectious diseasescovid vaccinationitpitp associated with covid vaccinationitp associated with astrazeneca covid vaccinationsecondary itp
spellingShingle Martin Koch
Sybille Fuld
Jan M. Middeke
Julia Fantana
Simone von Bonin
Jan Beyer-Westendorf
Secondary Immune Thrombocytopenia (ITP) Associated with ChAdOx1 Covid-19 Vaccination – A Case Report
TH Open
thrombocytopenia
platelet pathology / inherited
aquired
infectious diseases
covid vaccination
itp
itp associated with covid vaccination
itp associated with astrazeneca covid vaccination
secondary itp
title Secondary Immune Thrombocytopenia (ITP) Associated with ChAdOx1 Covid-19 Vaccination – A Case Report
title_full Secondary Immune Thrombocytopenia (ITP) Associated with ChAdOx1 Covid-19 Vaccination – A Case Report
title_fullStr Secondary Immune Thrombocytopenia (ITP) Associated with ChAdOx1 Covid-19 Vaccination – A Case Report
title_full_unstemmed Secondary Immune Thrombocytopenia (ITP) Associated with ChAdOx1 Covid-19 Vaccination – A Case Report
title_short Secondary Immune Thrombocytopenia (ITP) Associated with ChAdOx1 Covid-19 Vaccination – A Case Report
title_sort secondary immune thrombocytopenia itp associated with chadox1 covid 19 vaccination a case report
topic thrombocytopenia
platelet pathology / inherited
aquired
infectious diseases
covid vaccination
itp
itp associated with covid vaccination
itp associated with astrazeneca covid vaccination
secondary itp
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1731774
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