Not only lymphadenopathy: case of chest lymphangitis assessed with MRI after COVID 19 vaccine

Abstract Background To date, no paper reports cases of lymphangitis after COVID 19 vaccination. We present a case of lymphangitis after vaccination from COVID 19, in a patient with colorectal liver metastases. Methods We described the case of a 56-year-old woman with history of a surgical resection...

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Main Authors: Vincenza Granata, Roberta Fusco, Paolo Vallone, Sergio Venanzio Setola, Carmine Picone, Francesca Grassi, Renato Patrone, Andrea Belli, Francesco Izzo, Antonella Petrillo
Format: Article
Language:English
Published: BMC 2022-03-01
Series:Infectious Agents and Cancer
Subjects:
Online Access:https://doi.org/10.1186/s13027-022-00419-1
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author Vincenza Granata
Roberta Fusco
Paolo Vallone
Sergio Venanzio Setola
Carmine Picone
Francesca Grassi
Renato Patrone
Andrea Belli
Francesco Izzo
Antonella Petrillo
author_facet Vincenza Granata
Roberta Fusco
Paolo Vallone
Sergio Venanzio Setola
Carmine Picone
Francesca Grassi
Renato Patrone
Andrea Belli
Francesco Izzo
Antonella Petrillo
author_sort Vincenza Granata
collection DOAJ
description Abstract Background To date, no paper reports cases of lymphangitis after COVID 19 vaccination. We present a case of lymphangitis after vaccination from COVID 19, in a patient with colorectal liver metastases. Methods We described the case of a 56-year-old woman with history of a surgical resection of colorectal cancer and liver metastases, without any kind of drug therapy for about a month. In addition, a recent administration (2 days ago) of Spikevax (mRNA-1273, Moderna vaccine), as a booster dose, on the right arm was reported. Results The magnetic resonance (MR) examination showed the effects of the previous surgical resection and five new hepatic metastases, located in the VIII, VI, V, IV and II hepatic segments. As an accessory finding the presence of lymphadenopathy in the axillary area and lymphangitis of the right breast and chest were identified. The computed tomography scan performed a week earlier, and re-evaluated in light of the MR data, did not identify the presence of lymphadenopathy in the axillary area and lymphangitis signs. Conclusions Lymphangitis could occur after COVID 19 vaccine and it is important to know this data to avoid alarmism in patients and clinicians and economic waste linked to the execution of various radiological investigations for the search for a tumour that probably does not exist. Trial registration: Not applicable.
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spelling doaj.art-5a35e8877882417d8834c16d86abb2952022-12-22T00:02:59ZengBMCInfectious Agents and Cancer1750-93782022-03-011711710.1186/s13027-022-00419-1Not only lymphadenopathy: case of chest lymphangitis assessed with MRI after COVID 19 vaccineVincenza Granata0Roberta Fusco1Paolo Vallone2Sergio Venanzio Setola3Carmine Picone4Francesca Grassi5Renato Patrone6Andrea Belli7Francesco Izzo8Antonella Petrillo9Division of Radiology, “Istituto Nazionale Tumori IRCCS Fondazione Pascale – IRCCS di Napoli”Medical Oncology Division, Igea SpADivision of Radiology, “Istituto Nazionale Tumori IRCCS Fondazione Pascale – IRCCS di Napoli”Division of Radiology, “Istituto Nazionale Tumori IRCCS Fondazione Pascale – IRCCS di Napoli”Division of Radiology, “Istituto Nazionale Tumori IRCCS Fondazione Pascale – IRCCS di Napoli”Italian Society of Medical and Interventional Radiology (SIRM), SIRM FoundationDivision of Hepatobiliary Surgical Oncology, “Istituto Nazionale Tumori IRCCS Fondazione Pascale – IRCCS di Napoli”Division of Hepatobiliary Surgical Oncology, “Istituto Nazionale Tumori IRCCS Fondazione Pascale – IRCCS di Napoli”Division of Hepatobiliary Surgical Oncology, “Istituto Nazionale Tumori IRCCS Fondazione Pascale – IRCCS di Napoli”Division of Radiology, “Istituto Nazionale Tumori IRCCS Fondazione Pascale – IRCCS di Napoli”Abstract Background To date, no paper reports cases of lymphangitis after COVID 19 vaccination. We present a case of lymphangitis after vaccination from COVID 19, in a patient with colorectal liver metastases. Methods We described the case of a 56-year-old woman with history of a surgical resection of colorectal cancer and liver metastases, without any kind of drug therapy for about a month. In addition, a recent administration (2 days ago) of Spikevax (mRNA-1273, Moderna vaccine), as a booster dose, on the right arm was reported. Results The magnetic resonance (MR) examination showed the effects of the previous surgical resection and five new hepatic metastases, located in the VIII, VI, V, IV and II hepatic segments. As an accessory finding the presence of lymphadenopathy in the axillary area and lymphangitis of the right breast and chest were identified. The computed tomography scan performed a week earlier, and re-evaluated in light of the MR data, did not identify the presence of lymphadenopathy in the axillary area and lymphangitis signs. Conclusions Lymphangitis could occur after COVID 19 vaccine and it is important to know this data to avoid alarmism in patients and clinicians and economic waste linked to the execution of various radiological investigations for the search for a tumour that probably does not exist. Trial registration: Not applicable.https://doi.org/10.1186/s13027-022-00419-1Chest lymphangitisCOVID 19VaccinationMRI
spellingShingle Vincenza Granata
Roberta Fusco
Paolo Vallone
Sergio Venanzio Setola
Carmine Picone
Francesca Grassi
Renato Patrone
Andrea Belli
Francesco Izzo
Antonella Petrillo
Not only lymphadenopathy: case of chest lymphangitis assessed with MRI after COVID 19 vaccine
Infectious Agents and Cancer
Chest lymphangitis
COVID 19
Vaccination
MRI
title Not only lymphadenopathy: case of chest lymphangitis assessed with MRI after COVID 19 vaccine
title_full Not only lymphadenopathy: case of chest lymphangitis assessed with MRI after COVID 19 vaccine
title_fullStr Not only lymphadenopathy: case of chest lymphangitis assessed with MRI after COVID 19 vaccine
title_full_unstemmed Not only lymphadenopathy: case of chest lymphangitis assessed with MRI after COVID 19 vaccine
title_short Not only lymphadenopathy: case of chest lymphangitis assessed with MRI after COVID 19 vaccine
title_sort not only lymphadenopathy case of chest lymphangitis assessed with mri after covid 19 vaccine
topic Chest lymphangitis
COVID 19
Vaccination
MRI
url https://doi.org/10.1186/s13027-022-00419-1
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