Hemodynamic Collapse After Influenza Vaccination: A Vaccine-Induced Fulminant Myocarditis?


Journal

The Canadian journal of cardiology
ISSN: 1916-7075
Titre abrégé: Can J Cardiol
Pays: England
ID NLM: 8510280

Informations de publication

Date de publication:
09 2020
Historique:
received: 08 02 2020
revised: 02 05 2020
accepted: 03 05 2020
pubmed: 16 5 2020
medline: 19 5 2021
entrez: 16 5 2020
Statut: ppublish

Résumé

A 14-year-old girl with cardiopulmonary arrest was referred to our hospital. She had received an injection of inactivated influenza vaccine 7 days before the referral. Her cardiac rhythm was pulseless wide QRS tachycardia, and mechanical circulatory support was immediately begun. Results of endomyocardial biopsy showed that there was massive infiltration of CD3- and CD68-positive cells and various degrees of cardiomyocyte necrosis in all of 3 endomyocardial specimens, whereas infiltration of eosinophils or giant cells was not observed. A histologic diagnosis of lymphocytic myocarditis was made. Acute myocarditis is a rare but potentially fatal complication of the influenza vaccination.

Identifiants

pubmed: 32413549
pii: S0828-282X(20)30449-9
doi: 10.1016/j.cjca.2020.05.005
pii:
doi:

Substances chimiques

Influenza Vaccines 0

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

1554.e5-1554.e7

Informations de copyright

Copyright © 2020 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

Auteurs

Nobutaka Nagano (N)

Department of Cardiovascular, Renal, and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.

Toshiyuki Yano (T)

Department of Cardiovascular, Renal, and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan. Electronic address: tyano@sapmed.ac.jp.

Yugo Fujita (Y)

Department of Cardiovascular, Renal, and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.

Masayuki Koyama (M)

Department of Cardiovascular, Renal, and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan; Department of Public Health, Sapporo Medical University School of Medicine, Sapporo, Japan.

Ryo Hasegawa (R)

Department of Cardiovascular, Renal, and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.

Jun Nakata (J)

Department of Cardiovascular, Renal, and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.

Ryo Nishikawa (R)

Department of Cardiovascular, Renal, and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.

Naoto Murakami (N)

Department of Cardiovascular, Renal, and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.

Takefumi Fujito (T)

Department of Cardiovascular, Renal, and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.

Atsushi Mochizuki (A)

Department of Cardiovascular, Renal, and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.

Hidemichi Kouzu (H)

Department of Cardiovascular, Renal, and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.

Atsuko Muranaka (A)

Department of Cardiovascular, Renal, and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.

Nobuaki Kokubu (N)

Department of Cardiovascular, Renal, and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.

Tetsuji Miura (T)

Department of Cardiovascular, Renal, and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.

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