Adult-Onset Still’s Disease following Coronavirus 2 (SARS-CoV-2) Vaccination: A Case Report

In recent years, during the ravages of COVID-19, a variety of vaccines have been developed and are now on the market. However, although these new vaccines have undergone various trials, there are still many unknown side effects. We report a case of a 30-year-old woman who presented with general weak...

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Main Authors: Xiang-He Chua, Wea-Lung Lin, Yuan-Ti Lee
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/10/10/1687
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author Xiang-He Chua
Wea-Lung Lin
Yuan-Ti Lee
author_facet Xiang-He Chua
Wea-Lung Lin
Yuan-Ti Lee
author_sort Xiang-He Chua
collection DOAJ
description In recent years, during the ravages of COVID-19, a variety of vaccines have been developed and are now on the market. However, although these new vaccines have undergone various trials, there are still many unknown side effects. We report a case of a 30-year-old woman who presented with general weakness, sore throat, generalized skin rashes, symmetrical arthralgia, and persistent fever of up to 40 °C with onset 16 days after receiving the Moderna COVID-19 vaccine. Adult-onset Still’s disease (AOSD) was diagnosed according to Yamaguchi’s criteria after excluding the feasibility of infectious diseases, autoimmune diseases, and malignancies. In particular, her responses to glucocorticoids and naproxen were significant and inversely proportional to her use of empirical antibiotics in the initial stage of treatment. We studied some similar cases of AOSD, which also considered the adverse effects of COVID-19 vaccination and suggested the immunogenicity and possibility of inflammatory responses related to COVID-19 vaccination.
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spelling doaj.art-ea7b00d8f6f44c92bc7c978427ab275d2023-11-24T03:04:17ZengMDPI AGVaccines2076-393X2022-10-011010168710.3390/vaccines10101687Adult-Onset Still’s Disease following Coronavirus 2 (SARS-CoV-2) Vaccination: A Case ReportXiang-He Chua0Wea-Lung Lin1Yuan-Ti Lee2School of Medicine, Chung Shan Medical University, Taichung City 40201, TaiwanSchool of Medicine, Chung Shan Medical University, Taichung City 40201, TaiwanSchool of Medicine, Chung Shan Medical University, Taichung City 40201, TaiwanIn recent years, during the ravages of COVID-19, a variety of vaccines have been developed and are now on the market. However, although these new vaccines have undergone various trials, there are still many unknown side effects. We report a case of a 30-year-old woman who presented with general weakness, sore throat, generalized skin rashes, symmetrical arthralgia, and persistent fever of up to 40 °C with onset 16 days after receiving the Moderna COVID-19 vaccine. Adult-onset Still’s disease (AOSD) was diagnosed according to Yamaguchi’s criteria after excluding the feasibility of infectious diseases, autoimmune diseases, and malignancies. In particular, her responses to glucocorticoids and naproxen were significant and inversely proportional to her use of empirical antibiotics in the initial stage of treatment. We studied some similar cases of AOSD, which also considered the adverse effects of COVID-19 vaccination and suggested the immunogenicity and possibility of inflammatory responses related to COVID-19 vaccination.https://www.mdpi.com/2076-393X/10/10/1687adult-onset Still’s diseaseCOVID-19 vaccinesmRNA COVID-19 vaccine
spellingShingle Xiang-He Chua
Wea-Lung Lin
Yuan-Ti Lee
Adult-Onset Still’s Disease following Coronavirus 2 (SARS-CoV-2) Vaccination: A Case Report
Vaccines
adult-onset Still’s disease
COVID-19 vaccines
mRNA COVID-19 vaccine
title Adult-Onset Still’s Disease following Coronavirus 2 (SARS-CoV-2) Vaccination: A Case Report
title_full Adult-Onset Still’s Disease following Coronavirus 2 (SARS-CoV-2) Vaccination: A Case Report
title_fullStr Adult-Onset Still’s Disease following Coronavirus 2 (SARS-CoV-2) Vaccination: A Case Report
title_full_unstemmed Adult-Onset Still’s Disease following Coronavirus 2 (SARS-CoV-2) Vaccination: A Case Report
title_short Adult-Onset Still’s Disease following Coronavirus 2 (SARS-CoV-2) Vaccination: A Case Report
title_sort adult onset still s disease following coronavirus 2 sars cov 2 vaccination a case report
topic adult-onset Still’s disease
COVID-19 vaccines
mRNA COVID-19 vaccine
url https://www.mdpi.com/2076-393X/10/10/1687
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