An autopsy case of COVID-19-like acute respiratory distress syndrome after mRNA-1273 SARS-CoV-2 vaccination
•-An old woman developed interstitial pneumonia after mRNA-1273 vaccination.•-The patient's symptoms, laboratory findings, and images were similar to those of COVID-19.•-Serological and pathological tests were useful in diagnosing vaccine-induced acute respiratory distress syndrome.•-Serum leve...
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Published in | International Journal of Infectious Diseases Vol. 121; pp. 98 - 101 |
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Main Authors | , , , , , , , , , , , , , |
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01.08.2022
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Abstract | •-An old woman developed interstitial pneumonia after mRNA-1273 vaccination.•-The patient's symptoms, laboratory findings, and images were similar to those of COVID-19.•-Serological and pathological tests were useful in diagnosing vaccine-induced acute respiratory distress syndrome.•-Serum level of antibodies against spike protein was extremely high.
We report the first case with COVID-19-like acute respiratory distress syndrome after mRNA-1273 SARS-CoV-2 vaccination. An 88-year-old woman developed dyspnea several hours after vaccination with the second dose of mRNA-1273. She was hospitalized on day nine due to worsening dyspnea. Chest computed tomography showed bilateral ground-glass opacities and consolidations, mainly in the peripheral lung areas. Repeat polymerase chain reaction tests for SARS-CoV-2 were negative, although the serum level of antibodies against spike protein was extremely elevated. Her condition did not improve with high-dose corticosteroids and high-flow nasal cannula oxygen therapy; she died on day 18. Autopsy findings revealed very early-phase diffuse alveolar damage in the whole lung without other lung diseases. The clinical and pathological findings suggested vaccine-induced acute respiratory distress syndrome. Serological and pathological tests might be useful to differentiate the disease from COVID-19. |
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AbstractList | We report the first case with COVID-19-like acute respiratory distress syndrome after mRNA-1273 SARS-CoV-2 vaccination. An 88-year-old woman developed dyspnea several hours after vaccination with the second dose of mRNA-1273. She was hospitalized on day nine due to worsening dyspnea. Chest computed tomography showed bilateral ground-glass opacities and consolidations, mainly in the peripheral lung areas. Repeat polymerase chain reaction tests for SARS-CoV-2 were negative, although the serum level of antibodies against spike protein was extremely elevated. Her condition did not improve with high-dose corticosteroids and high-flow nasal cannula oxygen therapy; she died on day 18. Autopsy findings revealed very early-phase diffuse alveolar damage in the whole lung without other lung diseases. The clinical and pathological findings suggested vaccine-induced acute respiratory distress syndrome. Serological and pathological tests might be useful to differentiate the disease from COVID-19. •-An old woman developed interstitial pneumonia after mRNA-1273 vaccination.•-The patient's symptoms, laboratory findings, and images were similar to those of COVID-19.•-Serological and pathological tests were useful in diagnosing vaccine-induced acute respiratory distress syndrome.•-Serum level of antibodies against spike protein was extremely high. We report the first case with COVID-19-like acute respiratory distress syndrome after mRNA-1273 SARS-CoV-2 vaccination. An 88-year-old woman developed dyspnea several hours after vaccination with the second dose of mRNA-1273. She was hospitalized on day nine due to worsening dyspnea. Chest computed tomography showed bilateral ground-glass opacities and consolidations, mainly in the peripheral lung areas. Repeat polymerase chain reaction tests for SARS-CoV-2 were negative, although the serum level of antibodies against spike protein was extremely elevated. Her condition did not improve with high-dose corticosteroids and high-flow nasal cannula oxygen therapy; she died on day 18. Autopsy findings revealed very early-phase diffuse alveolar damage in the whole lung without other lung diseases. The clinical and pathological findings suggested vaccine-induced acute respiratory distress syndrome. Serological and pathological tests might be useful to differentiate the disease from COVID-19. We report the first case with COVID-19-like acute respiratory distress syndrome after mRNA-1273 SARS-CoV-2 vaccination. An 88-year-old woman developed dyspnea several hours after vaccination with the second dose of mRNA-1273. She was hospitalized on day nine due to worsening dyspnea. Chest computed tomography showed bilateral ground-glass opacities and consolidations, mainly in the peripheral lung areas. Repeat polymerase chain reaction tests for SARS-CoV-2 were negative, although the serum level of antibodies against spike protein was extremely elevated. Her condition did not improve with high-dose corticosteroids and high-flow nasal cannula oxygen therapy; she died on day 18. Autopsy findings revealed very early-phase diffuse alveolar damage in the whole lung without other lung diseases. The clinical and pathological findings suggested vaccine-induced acute respiratory distress syndrome. Serological and pathological tests might be useful to differentiate the disease from COVID-19.We report the first case with COVID-19-like acute respiratory distress syndrome after mRNA-1273 SARS-CoV-2 vaccination. An 88-year-old woman developed dyspnea several hours after vaccination with the second dose of mRNA-1273. She was hospitalized on day nine due to worsening dyspnea. Chest computed tomography showed bilateral ground-glass opacities and consolidations, mainly in the peripheral lung areas. Repeat polymerase chain reaction tests for SARS-CoV-2 were negative, although the serum level of antibodies against spike protein was extremely elevated. Her condition did not improve with high-dose corticosteroids and high-flow nasal cannula oxygen therapy; she died on day 18. Autopsy findings revealed very early-phase diffuse alveolar damage in the whole lung without other lung diseases. The clinical and pathological findings suggested vaccine-induced acute respiratory distress syndrome. Serological and pathological tests might be useful to differentiate the disease from COVID-19. |
Author | Ryo, Akihide Maeda, Kazuho Iwashita, Hiromichi Sasaki, Hiroaki Miyata, Nobuyuki Hatayama, Yasuyoshi Miyazaki, Kazuhito Hayashi, Hiroyuki Kawana-Tachikawa, Ai Tachikawa, Natsuo Okudela, Koji Tateishi, Yoko Ihama, Yoko Yoshimura, Yukihiro |
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Keywords | COVID-19 acute respiratory distress syndrome vaccine autopsy |
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Snippet | •-An old woman developed interstitial pneumonia after mRNA-1273 vaccination.•-The patient's symptoms, laboratory findings, and images were similar to those of... We report the first case with COVID-19-like acute respiratory distress syndrome after mRNA-1273 SARS-CoV-2 vaccination. An 88-year-old woman developed dyspnea... |
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Title | An autopsy case of COVID-19-like acute respiratory distress syndrome after mRNA-1273 SARS-CoV-2 vaccination |
URI | https://www.clinicalkey.com/#!/content/1-s2.0-S1201971222002570 https://dx.doi.org/10.1016/j.ijid.2022.04.057 https://cir.nii.ac.jp/crid/1873116917887508992 https://www.ncbi.nlm.nih.gov/pubmed/35500794 https://www.proquest.com/docview/2659230238 https://pubmed.ncbi.nlm.nih.gov/PMC9054706 https://doaj.org/article/961d393b115642c48eb329d1ed12dc8f |
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