Evidence map›Paper›PMID 37515043›Full record

ArticleVaccines2023

A Case of Acquired Aplastic Anemia after Severe Hepatitis- Probably Induced by the Pfizer/BioNTech Vaccine: A Case Report and Review of Literature.

Zahra Kmira, Khirallah Sabrine, Guermazi Monia, Akkari Imen, Chiba Dorra, Bannour Rania, Fathallah Neila, Bouteraa Walid, Zaier Monia, Ben Youssef Yosra and 2 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Vaccines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. 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

12 authors at 2 institutions in 1 country.

Zahra KmiraDepartment of Clinical Hematology, Farhat Hached University Hospital, Sousse 4000, Tunisia.ORCID 0000-0002-6695-075X
Khirallah SabrineDepartment of Clinical Hematology, Farhat Hached University Hospital, Sousse 4000, Tunisia.
Guermazi MoniaDepartment of Clinical Hematology, Farhat Hached University Hospital, Sousse 4000, Tunisia.
Akkari ImenDepartement of Gastrology, Farhat Hached University Hospital, Sousse 4000, Tunisia.ORCID 0000-0002-7953-6873
Chiba DorraDepartment of Pathology, Farhat Hached University Hospital, Sousse 4000, Tunisia.
Bannour RaniaDepartment of Hygiene, Sahloul University Hospital, Sousse 4000, Tunisia.
Fathallah NeilaDepartment of Pharmacology, Farhat Hached University Hospital, Sousse 4000, Tunisia.
Bouteraa WalidDepartment of Clinical Hematology, Farhat Hached University Hospital, Sousse 4000, Tunisia.
Zaier MoniaDepartment of Clinical Hematology, Farhat Hached University Hospital, Sousse 4000, Tunisia.
Ben Youssef YosraDepartment of Clinical Hematology, Farhat Hached University Hospital, Sousse 4000, Tunisia.
Regaieg HaifaDepartment of Clinical Hematology, Farhat Hached University Hospital, Sousse 4000, Tunisia.
Khelif AbderrahimDepartment of Clinical Hematology, Farhat Hached University Hospital, Sousse 4000, Tunisia.
Hôpital Farhat Hached · TNHôpital Sahloul · TN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAn important but rare adverse effect of vaccines is their association with autoimmune events, including hepatitis and aplastic anemia (AA). In this paper, we report a case of hepatitis followed by AA that occurred after the COVID-19 vaccine was administered. CASE REPORT: This paper focuses on a 30-year-old female who presented with acute hepatitis three weeks after receiving the second dose of the coronavirus Pfizer/BioNTech vaccine. After an extensive diagnostic evaluation was conducted that did not discover a specific cause, the Pfizer/BioNTech vaccine was suspected and the patient was treated with corticosteroids. One week after the onset of a liver disorder, the patient presented with gum bleeding and pancytopenia, and the diagnosis of AA was established via laboratory testing and bone marrow biopsy. After the diagnosis, the patient received immunosuppressive therapy using anti-lymphocyte serum (ATGAM) and CYCLOSPORINE A with progressive improvements in cytopenia. The important issue is whether AA is related to acute hepatitis or the coronavirus vaccine.

conclusionClinicians should be aware of the risk of both the possibility of acute hepatitis, AA, or both after receiving the COVID-19 vaccination. It is very hard to distinguish the cause of AA between vaccine- and hepatitis-related AA. Predicting who develops hepatic or myelo-complications after vaccination is difficult.

Indexed as

acute hepatitisaplastic anemiaPfizer/BioNTech vaccine

Identifiers

PMID37515043
PMCPMC10384467
OpenAlexW4384037010

What OpenQuestion holds

Textmetadata
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.