Evidence map›Paper›PMID 35189339›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2022

Fatal thrombotic microangiopathy with rhabdomyolysis as an initial symptom after the first dose of mRNA-1273 vaccine: A case report.

Yuya Kamura, Toshiki Terao, Satoshi Akao, Yumi Kono, Koichi Honma, Kosei Matsue

Open access · goldAbstract readCase Reports
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Atypical Hemolytic Uremic Syndrome Occurring After Receipt of mRNA-1273 COVID-19 Vaccine Booster: A Case Report.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2023
    Article
  7. Article
  8. Article
  9. Rule out appropriately all differentials before attributing severe rhabdomyolysis to SARS-CoV-2 vaccination.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Yuya KamuraDivision of Hematology/Oncology, Department of Internal Medicine, Kameda Medical Centre, 929 Higashi-cho, Kamogawa-shi, Chiba, 296-8602, Japan.
Toshiki TeraoDivision of Hematology/Oncology, Department of Internal Medicine, Kameda Medical Centre, 929 Higashi-cho, Kamogawa-shi, Chiba, 296-8602, Japan.
Satoshi AkaoDivision of Rheumatology, Department of Internal Medicine, Kameda Medical Centre.
Yumi KonoDepartment of Intensive Care Medicine, Kameda Medical Centre.
Koichi HonmaDepartment of Pathology, Kameda Medical Centre.
Kosei MatsueDivision of Hematology/Oncology, Department of Internal Medicine, Kameda Medical Centre, 929 Higashi-cho, Kamogawa-shi, Chiba, 296-8602, Japan. Electronic address: koseimatsue@gmail.com.
Kameda Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a case of a Japanese man with severe rhabdomyolysis and multiple thrombosis of arterioles after the first dose of mRNA-1273 vaccine. He developed rapidly progressive rhabdomyolysis and infarctions of multiple organs. Antiplatelet factor 4 antibody test was negative. Despite the intensive supportive care, including aggressive fluid administration, hemodialysis, administration of anticoagulants, high-dose steroid, and eculizumab, the patient ultimately died of multiple organ failure. Autopsy revealed multiple thrombosis in the arterioles and organ necrosis. Low serum complements and C3 deposition in the renal glomeruli detected by immunofluorescence suggested a possible immune-mediated mechanism. To our knowledge, this is the first case report of rhabdomyolysis and multiple thrombosis of the arterioles as an adverse event following COVID-19 vaccination.

Indexed as

COVID-19RhabdomyolysisThrombotic Microangiopathies2019-nCoV Vaccine mRNA-1273COVID-19 VaccinesHumansMale2019-nCoV Vaccine mRNA-1273COVID-19 Vaccinescomplemental activationCOVID-19mRNA-1273rhabdomyolysisSARS-CoV-2thrombosis

Identifiers

PMID35189339
PMCPMC8853962
OpenAlexW4213197515

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.