본문 바로가기
KERD
논문KCI 등재

Fatal Case of Acute Pulmonary Embolism due to Venous Thrombosis after COVID-19 Vaccination: Based on Forensic Postmortem Examination

0

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류기타의약학

초록

We present an unexpected fatal case of pulmonary embolism due to venous thrombosis after vaccination for coronavirus disease 2019 (ChAdOx1 nCov19). The deceased was a 64-year-old woman with Alzheimer disease. The deceased had fever shortly after vaccination, and presented sudden dyspnea and died 8 days after vaccination. On postmortem examination, pulmonary embolism and venous thrombosis were noted in deep veins of both lower legs. Even though the psychomotor function of the deceased became fragile due to Alzheimer disease, the deceased was not bed-ridden, and major known risk factors related to venous thrombosis were not explicit in this case. Because there are not enough data related to vaccination and thrombosis, we hope that this case would be helpful in unraveling pathogenesis of venous thrombosis after vaccination and in determining whether there is any association between thrombosis and vaccination.

Abstract

We present an unexpected fatal case of pulmonary embolism due to venous thrombosis after vaccination for coronavirus disease 2019 (ChAdOx1 nCov19). The deceased was a 64-year-old woman with Alzheimer disease. The deceased had fever shortly after vaccination, and presented sudden dyspnea and died 8 days after vaccination. On postmortem examination, pulmonary embolism and venous thrombosis were noted in deep veins of both lower legs. Even though the psychomotor function of the deceased became fragile due to Alzheimer disease, the deceased was not bed-ridden, and major known risk factors related to venous thrombosis were not explicit in this case. Because there are not enough data related to vaccination and thrombosis, we hope that this case would be helpful in unraveling pathogenesis of venous thrombosis after vaccination and in determining whether there is any association between thrombosis and vaccination.

참고문헌 (22)

  1. "WHO coronavirus (COVID-19)Dashboard"[URL]
  2. Soneji S, "Population-level death rates from novel coronavirus (COVID-19) in South Korea", Asia Pac J Public Health (2021)[DOI]
  3. Wu Z, "Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China:summary of a report of 72314 cases from the Chinese Center for Disease Control and Prevention", JAMA, 323, pp.1239~1242 (2020)
  4. Voysey M, "Safety and efficacy of the ChAdOx1 nCoV-19 vaccine (AZD1222) against SARS-CoV-2:an interim analysis of four randomised controlled trials in Brazil, South Africa, and the UK", Lancet, 397, pp.99~111 (2021)
  5. Greinacher A, "Thrombotic thrombocytopenia after ChAdOx1 nCov-19 vaccination", N Engl J Med (2021)[DOI]
  6. "Update on the safety of COVID-19 vaccine AstraZeneca" (2021)[URL]
  7. Spencer FA, "The Worcester Venous Thromboembolism study: a population-based study of the clinical epidemiology of venous thromboembolism", J Gen Intern Med, 21, pp.722~727 (2006)
  8. Liu J, "Follicular variant of papillary thyroid carcinoma: a clinicopathologic study of a problematic entity", Cancer, 107, pp.1255~1264 (2006)
  9. Junshik Hong, "Prominent seasonal variation in pulmonary embolism than deep vein thrombosis incidence: a Korean venous thrombosis epidemiology study", The Korean Journal of Internal Medicine, 35(3), pp.682~691 (2020), 대한내과학회[DOI]
  10. Soo RJJ, "Decreased influenza incidence under COVID-19 control measures, Singapore", Emerg Infect Dis, 26, pp.1933~1935 (2020)
  11. Lai CC, "The impact of the coronavirus disease 2019 epidemic on notifiable infectious diseases in Taiwan: a database analysis", Travel Med Infect Dis, 40, pp.101997~ (2021)
  12. Partridge E, "Evaluation of seasonal respiratory virus activity before and after the statewide COVID-19shelter-in-place order in Northern California", JAMA Netw Open, 4, pp.e2035281~ (2021)
  13. Schmidt M, "Acute infections and venous thromboembolism", J Intern Med, 271, pp.608~618 (2012)
  14. Smeeth L, "Risk of deep vein thrombosis and pulmonary embolism after acute infection in a community setting", Lancet, 367, pp.1075~1079 (2006)
  15. Othman M, "Adenovirus-induced thrombocytopenia: the role of von Willebrand factor and P-selectin in mediating accelerated platelet clearance", Blood, 109, pp.2832~2839 (2007)
  16. Stone D, "Adenovirus-platelet interaction in blood causes virus sequestration to the reticuloendothelial system of the liver", J Virol, 81, pp.4866~4871 (2007)
  17. Pearce EN, "The prevalence of elevated serum C-reactive protein levels in inflammatory and noninflammatory thyroid disease", Thyroid, 13, pp.643~648 (2003)
  18. Schultz NH, "Thrombosis and thrombocytopenia after ChAdOx1 nCoV-19 vaccination", N Engl J Med (2021)[DOI]
  19. Muster V, "Pulmonary embolism and thrombocytopenia following ChAdOx1 vaccination", Lancet, 397, pp.1842~ (2021)
  20. Scully M, "Pathologic antibodies to platelet factor 4 after ChAdOx1 nCoV-19 vaccination", N Engl J Med (2021)[DOI]
  21. Krakow EF, "Influence of sample collection and storage on the detection of platelet factor 4-heparin antibodies", Am J Clin Pathol, 128, pp.150~155 (2007)
  22. Greinacher A, "Towards understanding ChAdOx1 nCov-19 Vaccine-induced immune thrombotic thrombocytopenia (VITT)" (2021)[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (3건)