Pericardial effusion and systemic capillary leak syndrome late post-SARS-CoV-2 vaccination.
Adult intensive care
COVID-19
Heart failure
Pericardial disease
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
09 Oct 2023
09 Oct 2023
Historique:
medline:
13
10
2023
pubmed:
12
10
2023
entrez:
9
10
2023
Statut:
epublish
Résumé
We report an interesting case of pericardial effusion associated with idiopathic systemic capillary leak syndrome (ISCLS) following administration of SARS-CoV-2 vaccine. This patient initially presented with dyspnoea and chest pain, with non-pitting oedema and clear lung fields. The diagnosis of ISCLS was made based on the clinical syndrome and laboratory evidence of polycythaemia and hypoalbuminaemia. An enlarging pericardial effusion was diagnosed on transthoracic echocardiogram. Daily point-of-care ultrasound (POCUS)-guided volume management and serial transthoracic echocardiograms contributed to avoidance of refractory shock, cardiac tamponade and critical care admission.
Identifiants
pubmed: 37813549
pii: 16/10/e256527
doi: 10.1136/bcr-2023-256527
pmc: PMC10565171
pii:
doi:
Substances chimiques
COVID-19 Vaccines
0
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© BMJ Publishing Group Limited 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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