Pericardial and pleural effusion in an elderly woman with Covid-19 pneumonia: CT findings

Messina, Francesco; Turano, L; Tebala, Carmela; Calabrese, Grazia; Arcadi, Nicola

doi:10.1016/j.radcr.2021.03.044

Cited by 2 publications

(1 citation statement)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They may not only assess the safety and reactogenicity of the ChAdOx1 nCoV-19 vaccine, but also serve as the evidence of post-vaccination adverse reaction [12]. It is worth noting that pericardial or pleural effusion may be one sign of SARS-CoV-2 infection [13][14][15]. According to a systematic review, the cardiac complications and pathological features following mRNA COVID-19 vaccination were very similar to SARS-CoV-2 infection [16].…”

Section: Discussionmentioning

confidence: 99%

Acute Polyserositis with Cardiac Tamponade and Bilateral Refractory Pleural Effusion after ChAdOx1 nCoV-19 Vaccination

Lee

Huang

2022

Vaccines

View full text Add to dashboard Cite

The association of SARS-CoV-2 messenger ribonucleic acid vaccines with pericarditis in young adults has been reported. However, data regarding other types of vaccines are extremely limited. We presented a 94-year-old man with rapidly progressive dyspnea and fatigue six days after his first ChAdOx1 nCoV-19 vaccination. Impending cardiac tamponade and bilateral pleural effusion were found. Hence, massive yellowish pericardial and pleural effusion were drained. However, the pleural effusion persisted and pigtail catheters were inserted bilaterally. After serial studies including surgical pleural biopsy, acute polyserositis (pericarditis and pleurisy) was diagnosed. Anti-inflammatory treatment with colchicine and prednisolone was administered. All effusions resolved accordingly. This rare case sheds light on the presentation of ChAdOx1 nCoV-19 vaccine-related acute polyserositis. In conclusion, awareness of this potential adverse event may facilitate the diagnosis for unexplained pericardial or pleural effusion after vaccination.

show abstract

Section: Discussionmentioning

confidence: 99%

Acute Polyserositis with Cardiac Tamponade and Bilateral Refractory Pleural Effusion after ChAdOx1 nCoV-19 Vaccination

Lee

Huang

2022

Vaccines

View full text Add to dashboard Cite

show abstract

Acute Pericarditis as the Primary Presentation of COVID-19 Infection followed by Guillain-Barre Syndrome in a Healthy Young Man: A Case Report

Noghabaei¹,

Arab²,

Payami³

et al. 2022

TORMJ

View full text Add to dashboard Cite

Background: Symptomatic COVID-19 infection most often presents as acute respiratory distress syndrome. Acute pericarditis and Guillain–Barré syndrome are rare extrapulmonary manifestations of this infection. Case presentation: A 27-year-old man presented with chest pain, with negative troponin and typical electrocardiographic findings, resulting in a diagnosis of acute pericarditis. He had no respiratory symptoms, nor the chest computerized tomography (CT) scan findings of COVID-19, and his Polymerase chain reaction (PCR) was negative. One week later, he developed clinical symptoms of Guillain-Barre syndrome, along with respiratory manifestations of COVID-19. His repeat chest CT scan and PCR test confirmed COVID-19 infection. After 17 days of hospital stay, he improved clinically and was discharged. Conclusion: This is the first case of acute pericarditis as the primary presentation of COVID-19 in the absence of respiratory symptoms and clear chest CT scan, followed by the development of Guillain–Barré syndrome and respiratory tract manifestations of COVID-19. Clinicians should be aware of extrapulmonary presentation of COVID-19 infection.

show abstract

Pericardial and pleural effusion in an elderly woman with Covid-19 pneumonia: CT findings

Cited by 2 publications

References 5 publications

Acute Polyserositis with Cardiac Tamponade and Bilateral Refractory Pleural Effusion after ChAdOx1 nCoV-19 Vaccination

Acute Polyserositis with Cardiac Tamponade and Bilateral Refractory Pleural Effusion after ChAdOx1 nCoV-19 Vaccination

Acute Pericarditis as the Primary Presentation of COVID-19 Infection followed by Guillain-Barre Syndrome in a Healthy Young Man: A Case Report

Contact Info

Product

Resources

About