A Case Report of Posttransplant Lymphoproliferative Disorder After AstraZeneca Coronavirus Disease 2019 Vaccine in a Heart Transplant Recipient

被引：11
|
作者：
Tang, Wen-Ruei [1 ]
Hsu, Che-Wei [2 ]
Lin, Chia-Ying [1 ,3 ]
Hsu, Ya-Ting [4 ]
Chang, Chen [2 ]
Tsai, Meng-Ta [5 ]
Hu, Yu-Ning [5 ]
Hsu, Chih-Hsin [6 ]
Chen, Po -Lin [7 ,8 ]
Chow, Nan -Haw [2 ]
Roan, Jun-Neng [9 ]
机构：
[1] Natl Cheng Kung Univ, Natl Cheng Kung Univ Hosp, Coll Med, Div Thorac Surg,Dept Surg, Tainan, Taiwan
[2] Natl Cheng Kung Univ, Natl Cheng Kung Univ Hosp, Coll Med, Dept Pathol, Tainan, Taiwan
[3] Natl Cheng Kung Univ, Natl Cheng Kung Univ Hosp, Coll Med, Dept Med Imaging, Tainan, Taiwan
[4] Natl Cheng Kung Univ, Natl Cheng Kung Univ Hosp, Coll Med, Div Hematol,Dept Internal Med, Tainan, Taiwan
[5] Natl Cheng Kung Univ, Natl Cheng Kung Univ Hosp, Div Cardiovasc Surg, Dept Surg,Coll Med, Tainan, Taiwan
[6] Natl Cheng Kung Univ, Natl Cheng Kung Univ Hosp, Div Cardiol, Dept Internal Med,Coll Med, Tainan, Taiwan
[7] Natl Cheng Kung Univ, Natl Cheng Kung Univ Hosp, Coll Med, Ctr Infect Control, Tainan, Taiwan
[8] Natl Cheng Kung Univ, Natl Cheng Kung Univ Hosp, Coll Med, Dept Internal Med, Tainan, Taiwan
[9] Natl Cheng Kung Univ, Natl Cheng Kung Univ Hosp, Div Cardiovasc Surg, Dept Surg, 138 Sheng-Li Rd, Tainan 704, Taiwan
来源：
TRANSPLANTATION PROCEEDINGS | 2022年 / 54卷 / 06期
关键词：
D O I：
10.1016/j.transproceed.2021.09.006
中图分类号：
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号：
100102 ;
摘要：
We report a case of a heart transplant recipient who presented with a rapidly growing Epstein -Barr virus (EBV)-positive, diffuse large B-cell lymphoma 7 days after receiving the first dose of the ChAdOx1 nCoV-19 vaccine. Because of the atypical radiologic presentation, the initial tenta-tive diagnosis was a mediastinal abscess. This observation indicates a potential risk of EBV reac-tivation after coronavirus disease 2019 (COVID-19) vaccination, which might lead to or aggravate the presentation of posttransplant lymphoproliferative disorder in transplantation patients. Transplant surgeons should be aware of the potential immunomodulatory effects of the COVID-19 vaccination.
引用
收藏
页码：1575 / 1578
页数：4
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