Diabetic ketoacidosis shortly after COVID‐19 vaccination in a non–small‐cell lung cancer patient receiving combination of PD‐1 and CTLA‐4 inhibitors: A case report

Abstract We describe a case of diabetic ketoacidosis (DKA) shortly after the SARS‐CoV‐2 (COVID‐19) vaccination in a 65‐year‐old woman with non–small‐cell lung cancer under a combination treatment of programmed cell death protein 1 (PD‐1) and cytotoxic T‐lymphocyte‐associated protein 4 (CTLA‐4) inhib...

Full description

Bibliographic Details
Main Authors: Tomonori Makiguchi, Takashi Fukushima, Hisashi Tanaka, Kageaki Taima, Shinobu Takayasu, Sadatomo Tasaka
Format: Article
Language:English
Published: Wiley 2022-04-01
Series:Thoracic Cancer
Subjects:
Online Access:https://doi.org/10.1111/1759-7714.14352
_version_ 1817990428063956992
author Tomonori Makiguchi
Takashi Fukushima
Hisashi Tanaka
Kageaki Taima
Shinobu Takayasu
Sadatomo Tasaka
author_facet Tomonori Makiguchi
Takashi Fukushima
Hisashi Tanaka
Kageaki Taima
Shinobu Takayasu
Sadatomo Tasaka
author_sort Tomonori Makiguchi
collection DOAJ
description Abstract We describe a case of diabetic ketoacidosis (DKA) shortly after the SARS‐CoV‐2 (COVID‐19) vaccination in a 65‐year‐old woman with non–small‐cell lung cancer under a combination treatment of programmed cell death protein 1 (PD‐1) and cytotoxic T‐lymphocyte‐associated protein 4 (CTLA‐4) inhibitors. She had no history of diabetic mellitus. A few days after the second shot of COVID‐19 vaccination, she developed DKA. We speculate that the immune‐related adverse event and immunogenicity of vaccination synergistically induced DKA.
first_indexed 2024-04-14T00:59:54Z
format Article
id doaj.art-f88180d6214d451ab79f84a76ab87c4e
institution Directory Open Access Journal
issn 1759-7706
1759-7714
language English
last_indexed 2024-04-14T00:59:54Z
publishDate 2022-04-01
publisher Wiley
record_format Article
series Thoracic Cancer
spelling doaj.art-f88180d6214d451ab79f84a76ab87c4e2022-12-22T02:21:28ZengWileyThoracic Cancer1759-77061759-77142022-04-011381220122310.1111/1759-7714.14352Diabetic ketoacidosis shortly after COVID‐19 vaccination in a non–small‐cell lung cancer patient receiving combination of PD‐1 and CTLA‐4 inhibitors: A case reportTomonori Makiguchi0Takashi Fukushima1Hisashi Tanaka2Kageaki Taima3Shinobu Takayasu4Sadatomo Tasaka5Department of Respiratory Medicine Hirosaki University Graduate School of Medicine Hirosaki JapanDepartment of Respiratory Medicine Hirosaki University Graduate School of Medicine Hirosaki JapanDepartment of Respiratory Medicine Hirosaki University Graduate School of Medicine Hirosaki JapanDepartment of Respiratory Medicine Hirosaki University Graduate School of Medicine Hirosaki JapanDepartment of Endocrinology and Metabolism Hirosaki University Graduate School of Medicine Hirosaki JapanDepartment of Respiratory Medicine Hirosaki University Graduate School of Medicine Hirosaki JapanAbstract We describe a case of diabetic ketoacidosis (DKA) shortly after the SARS‐CoV‐2 (COVID‐19) vaccination in a 65‐year‐old woman with non–small‐cell lung cancer under a combination treatment of programmed cell death protein 1 (PD‐1) and cytotoxic T‐lymphocyte‐associated protein 4 (CTLA‐4) inhibitors. She had no history of diabetic mellitus. A few days after the second shot of COVID‐19 vaccination, she developed DKA. We speculate that the immune‐related adverse event and immunogenicity of vaccination synergistically induced DKA.https://doi.org/10.1111/1759-7714.14352COVID‐19 vaccinationdiabetic ketoacidosisimmune checkpoint inhibitorimmune‐related adverse event
spellingShingle Tomonori Makiguchi
Takashi Fukushima
Hisashi Tanaka
Kageaki Taima
Shinobu Takayasu
Sadatomo Tasaka
Diabetic ketoacidosis shortly after COVID‐19 vaccination in a non–small‐cell lung cancer patient receiving combination of PD‐1 and CTLA‐4 inhibitors: A case report
Thoracic Cancer
COVID‐19 vaccination
diabetic ketoacidosis
immune checkpoint inhibitor
immune‐related adverse event
title Diabetic ketoacidosis shortly after COVID‐19 vaccination in a non–small‐cell lung cancer patient receiving combination of PD‐1 and CTLA‐4 inhibitors: A case report
title_full Diabetic ketoacidosis shortly after COVID‐19 vaccination in a non–small‐cell lung cancer patient receiving combination of PD‐1 and CTLA‐4 inhibitors: A case report
title_fullStr Diabetic ketoacidosis shortly after COVID‐19 vaccination in a non–small‐cell lung cancer patient receiving combination of PD‐1 and CTLA‐4 inhibitors: A case report
title_full_unstemmed Diabetic ketoacidosis shortly after COVID‐19 vaccination in a non–small‐cell lung cancer patient receiving combination of PD‐1 and CTLA‐4 inhibitors: A case report
title_short Diabetic ketoacidosis shortly after COVID‐19 vaccination in a non–small‐cell lung cancer patient receiving combination of PD‐1 and CTLA‐4 inhibitors: A case report
title_sort diabetic ketoacidosis shortly after covid 19 vaccination in a non small cell lung cancer patient receiving combination of pd 1 and ctla 4 inhibitors a case report
topic COVID‐19 vaccination
diabetic ketoacidosis
immune checkpoint inhibitor
immune‐related adverse event
url https://doi.org/10.1111/1759-7714.14352
work_keys_str_mv AT tomonorimakiguchi diabeticketoacidosisshortlyaftercovid19vaccinationinanonsmallcelllungcancerpatientreceivingcombinationofpd1andctla4inhibitorsacasereport
AT takashifukushima diabeticketoacidosisshortlyaftercovid19vaccinationinanonsmallcelllungcancerpatientreceivingcombinationofpd1andctla4inhibitorsacasereport
AT hisashitanaka diabeticketoacidosisshortlyaftercovid19vaccinationinanonsmallcelllungcancerpatientreceivingcombinationofpd1andctla4inhibitorsacasereport
AT kageakitaima diabeticketoacidosisshortlyaftercovid19vaccinationinanonsmallcelllungcancerpatientreceivingcombinationofpd1andctla4inhibitorsacasereport
AT shinobutakayasu diabeticketoacidosisshortlyaftercovid19vaccinationinanonsmallcelllungcancerpatientreceivingcombinationofpd1andctla4inhibitorsacasereport
AT sadatomotasaka diabeticketoacidosisshortlyaftercovid19vaccinationinanonsmallcelllungcancerpatientreceivingcombinationofpd1andctla4inhibitorsacasereport