Evidence map›Paper›PMID 35371100›Full record

ArticleFrontiers in immunology2022

Case Report: Severe Rhabdomyolysis and Multiorgan Failure After ChAdOx1 nCoV-19 Vaccination.

Emilia Cirillo, Ciro Esposito, Giuliana Giardino, Gaetano Azan, Simona Fecarotta, Stefania Pittaluga, Lucia Ruggiero, Ferdinando Barretta, Giulia Frisso, Luigi Daniele Notarangelo and 1 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Rhabdomyolysis or Myositis following a SARS-CoV-2 Vaccination.The Indian journal of radiology & imaging · 2023
    Article
  6. Article
  7. Article
  8. Review
  9. From Immunogen to COVID-19 vaccines: Prospects for the post-pandemic era.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2023
    Review
  10. Review
  11. COVID-19 Vaccination and Abnormal Blood Glucose Level.Advanced biomedical research · 2023
    Article
  12. Article
  13. Review
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

Emilia CirilloDepartments of Translational Medical Sciences, Pediatric Section, Federico II University of Naples, Naples, Italy.
Ciro EspositoDepartment of Transplants, A. Cardarelli Hospital, Naples, Italy.
Giuliana GiardinoDepartments of Translational Medical Sciences, Pediatric Section, Federico II University of Naples, Naples, Italy.
Gaetano AzanDepartment of Transplants, A. Cardarelli Hospital, Naples, Italy.
Simona FecarottaDepartments of Translational Medical Sciences, Pediatric Section, Federico II University of Naples, Naples, Italy.
Stefania PittalugaLaboratory of Pathology Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, United States.
Lucia RuggieroDepartment of Neuroscience, Reproductive and Odontostomatological Science, Federico II University of Naples, Naples, Italy.
Ferdinando BarrettaDepartment of Molecular Medicine and Medical Biotechnology , Federico II University of Naples, Naples, Italy.
Giulia FrissoDepartment of Molecular Medicine and Medical Biotechnology , Federico II University of Naples, Naples, Italy.
Luigi Daniele NotarangeloLaboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, United States.
Claudio PignataDepartments of Translational Medical Sciences, Pediatric Section, Federico II University of Naples, Naples, Italy.
University of Naples Federico II · ITFatebenefratelli Hospital · ITNational Institute of Allergy and Infectious Diseases · USNational Institutes of Health · US

Funding

Characterization of host immune responses to SARS-CoV-2ZIAAI001270 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI NOTARANGELO, LUIGI · 2020 to 2025
$1.2M
6 · The paper itself

Abstract

Background: Severe skeletal muscle damage has been recently reported in patients with SARS-CoV-2 infection and as a rare vaccination complication. Case summary: On Apr 28, 2021 a 68-year-old man who was previously healthy presented with an extremely severe rhabdomyolysis that occurred nine days following the first dose of SARS-CoV-2 ChAdOx1 nCov-19 vaccination. He had no risk factors, and denied any further assumption of drugs except for fermented red rice, and berberine supplement. The clinical scenario was complicated by a multi organ failure involving bone marrow, liver, lung, and kidney. For the rapid increase of the inflammatory markers, a cytokine storm was suspected and multi-target biologic immunosuppressive therapy was started, consisting of steroids, anakinra, and eculizumab, which was initially successful resulting in close to normal values of creatine phosphokinase after 17 days of treatment. Unfortunately, 48 days after the vaccination an accelerated phase of deterioration, characterized by severe multi-lineage cytopenia, untreatable hypotensive shock, hypoglycemia, and dramatic increase of procalcitonin (PCT), led to patient death. Conclusion: Physicians should be aware that severe and fatal rhabdomyolysis may occur after SARS-CoV2 vaccine administration.

Indexed as

COVID-19RhabdomyolysisThrombocytopeniaAgedChAdOx1 nCoV-19COVID-19 VaccinesHumansMaleMultiple Organ FailureRNA, ViralSARS-CoV-2VaccinationChAdOx1 nCoV-19COVID-19 VaccinesRNA, Viralanakinracase reportcytokine stormeculizumabrhabdomyolysisvaccination

Identifiers

PMID35371100
PMCPMC8968726
OpenAlexW4220758619

What OpenQuestion holds

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LicenceCC BY
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.