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新冠疫苗接种后发生出血性胸膜心包炎的罕见病例。

An Unusual Case of Hemorrhagic Pleuropericarditis After COVID-19 Vaccination.

作者信息

Javed Aneeqa, Medina Yelizaveta, Tian Julia, Alvi Muhammad Junaid, Sahra Syeda, Rojas-Marte Geurys

机构信息

Internal Medicine, Northwell Health, Staten Island, USA.

Cardiology, Northwell Health, Staten Island, USA.

出版信息

Cureus. 2022 May 8;14(5):e24828. doi: 10.7759/cureus.24828. eCollection 2022 May.

DOI:10.7759/cureus.24828
PMID:35693361
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9173655/
Abstract

As coronavirus disease 2019 (COVID-19) vaccines are being increasingly administered worldwide, subsequent side effects, such as myocarditis, pericarditis, and myopericarditis, are becoming increasingly more common. Our case describes a 64-year-old male who developed chest pain and shortness of breath one week after receiving the Moderna (Cambridge, Massachusetts) COVID-19 mRNA vaccine. He was found to have a large, left-sided pleural effusion and a small pericardial effusion. The patient underwent thoracentesis and video-assisted thoracoscopic procedure with chest tube placement, which drained bloody pleural and pericardial fluid. He was treated with a course of colchicine. Subsequent imaging revealed the resolution of pericardial and pleural effusions, along with the resolution of symptoms.

摘要

随着2019冠状病毒病（COVID-19）疫苗在全球范围内的接种日益增多，随后出现的副作用，如心肌炎、心包炎和心肌心包炎，也越来越常见。我们的病例描述了一名64岁男性，他在接种莫德纳（马萨诸塞州剑桥）COVID-19 mRNA疫苗一周后出现胸痛和呼吸急促。发现他有大量左侧胸腔积液和少量心包积液。患者接受了胸腔穿刺术和胸腔镜辅助手术并放置胸管，引流出血性胸腔和心包积液。他接受了一个疗程的秋水仙碱治疗。随后的影像学检查显示心包和胸腔积液消退，症状也随之缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/9173655/84725e8895cd/cureus-0014-00000024828-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/9173655/e5aa15963938/cureus-0014-00000024828-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/9173655/c58587ece561/cureus-0014-00000024828-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/9173655/84725e8895cd/cureus-0014-00000024828-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/9173655/e5aa15963938/cureus-0014-00000024828-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/9173655/c58587ece561/cureus-0014-00000024828-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/9173655/84725e8895cd/cureus-0014-00000024828-i03.jpg

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