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新冠疫苗接种后锁骨上淋巴结肿大作为亚临床肺外结核的表现

Manifestation of Subclinical Extrapulmonary Tuberculosis after COVID-19 Vaccination as Supraclavicular Lymphadenopathy.

作者信息

Cha Han Gyu, Kim Dong Gyu, Choi Joon Ho

机构信息

Department of Plastic and Reconstructive Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon 14584, Korea.

Department of Nuclear Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon 14584, Korea.

出版信息

Vaccines (Basel). 2022 Jun 16;10(6):964. doi: 10.3390/vaccines10060964.

DOI:10.3390/vaccines10060964
PMID:35746572
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9230702/
Abstract

Lymphadenopathy after coronavirus disease 2019 (COVID-19) vaccination is a common side effect that usually resolves within several days to weeks, and only observation is recommended. However, for prolonged lymphadenopathy, other possibilities, including malignancy or other lymphoproliferative diseases, may be considered. Herein, we report the case of a 66-year-old woman who experienced prolonged ipsilateral supraclavicular lymph node enlargement after the second dose of the ChAdOx1 (Oxford-AstraZeneca) COVID-19 vaccine, which was eventually diagnosed as extrapulmonary tuberculosis.

摘要

2019冠状病毒病(COVID-19)疫苗接种后出现淋巴结病是一种常见的副作用,通常在数天至数周内消退,仅建议进行观察。然而,对于持续性淋巴结病,可能需要考虑其他可能性,包括恶性肿瘤或其他淋巴增殖性疾病。在此,我们报告一例66岁女性病例,该患者在接种第二剂ChAdOx1(牛津-阿斯利康)COVID-19疫苗后出现同侧锁骨上淋巴结长期肿大,最终被诊断为肺外结核。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf38/9230702/58e95fb98743/vaccines-10-00964-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf38/9230702/b7728ac47696/vaccines-10-00964-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf38/9230702/03137d2ecb31/vaccines-10-00964-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf38/9230702/58e95fb98743/vaccines-10-00964-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf38/9230702/b7728ac47696/vaccines-10-00964-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf38/9230702/03137d2ecb31/vaccines-10-00964-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf38/9230702/58e95fb98743/vaccines-10-00964-g003.jpg

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本文引用的文献

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US Evaluation of Axillary Lymphadenopathy Following COVID-19 Vaccination: A Prospective Longitudinal Study.美国对 COVID-19 疫苗接种后腋窝淋巴结病的评估:一项前瞻性纵向研究。
Radiology. 2022 Oct;305(1):46-53. doi: 10.1148/radiol.220543. Epub 2022 Apr 26.
2
COVID-19 vaccine associated axillary lymphadenopathy - A systematic review.COVID-19 疫苗相关腋窝淋巴结病 - 系统评价。
Cancer Treat Res Commun. 2022;31:100546. doi: 10.1016/j.ctarc.2022.100546. Epub 2022 Mar 11.
3
Frequency of Ipsilateral Axillary Lymphadenopathy After the Inactivated COVID-19 Vaccine.
灭活新冠病毒疫苗接种后同侧腋窝淋巴结病的频率。
Curr Med Imaging. 2022;18(11):1214-1221. doi: 10.2174/1573405618666220310115711.
4
Innate Immune Responses of Vaccinees Determine Early Neutralizing Antibody Production After ChAdOx1nCoV-19 Vaccination.接种者的先天免疫反应决定了接种 ChAdOx1nCoV-19 后的早期中和抗体产生。
Front Immunol. 2022 Jan 25;13:807454. doi: 10.3389/fimmu.2022.807454. eCollection 2022.
5
Patients presenting high fever with lymphadenopathy after COVID-19 vaccination were diagnosed with hemophagocytic lymphohistiocytosis.接种 COVID-19 疫苗后出现高热伴淋巴结病的患者被诊断为噬血细胞性淋巴组织细胞增生症。
Infect Dis (Lond). 2022 Apr;54(4):303-307. doi: 10.1080/23744235.2021.2010801. Epub 2021 Dec 2.
6
First Report of Two Cases of Löfgren's Syndrome after SARS-CoV-2 Vaccination-Coincidence or Causality?两例新型冠状病毒疫苗接种后洛弗格伦综合征的首次报告——巧合还是因果关系?
Vaccines (Basel). 2021 Nov 11;9(11):1313. doi: 10.3390/vaccines9111313.
7
Regional lymphadenopathy following COVID-19 vaccination: Literature review and considerations for patient management in breast cancer care.接种 COVID-19 疫苗后的区域性淋巴结病:文献综述及对乳腺癌护理中患者管理的考虑。
Eur J Cancer. 2021 Dec;159:38-51. doi: 10.1016/j.ejca.2021.09.033. Epub 2021 Oct 11.
8
COVID-19 post-vaccination lymphadenopathy: Report of cytological findings from fine needle aspiration biopsy.新冠疫苗接种后淋巴结病:细针穿刺活检的细胞学检查结果报告
Diagn Cytopathol. 2021 Dec;49(12):E467-E470. doi: 10.1002/dc.24863. Epub 2021 Aug 25.
9
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IDCases. 2021;25:e01253. doi: 10.1016/j.idcr.2021.e01253. Epub 2021 Aug 10.
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JAMA Oncol. 2021 Aug 1;7(8):1241-1242. doi: 10.1001/jamaoncol.2021.1794.