• Intern Emerg Med · Apr 2024

    Case Reports

    Fever and dyspnea after anti-Covid-19 vaccination: a challenging diagnosis.

    • Mariangela Palladino, Martina Del Vecchio, Simone Farroni, Ottavio Martellucci, Antonietta Gigante, Cristiano Alessandri, and Maurizio Muscaritoli.
    • Department of Translational and Precision Medicine, Sapienza University of Rome, Viale Dell'Università 37, 00185, Rome, Italy. mariangelapalladino@tiscali.it.
    • Intern Emerg Med. 2024 Apr 1; 19 (3): 757760757-760.

    AbstractThere is still little information regarding the long-term safety of the vaccines. We report a case of new-onset adult-onset Still's disease (AOSD) that occurred following Covid-19 vaccination. This patient went to the emergency room with dyspnea from the last two weeks and bilateral swellings that occurred several weeks after the first vaccination. Based on the symptoms and laboratory results, we suspected AOSD. Considering the time relationship between Covid-19 vaccination and AOSD onset in our patient, and possible mechanisms linking vaccination with the onset of autoimmune disorders, physicians should consider adverse events from Covid-19 vaccination and assess the benefits and risks of vaccination for each patient.© 2023. The Author(s), under exclusive licence to Società Italiana di Medicina Interna (SIMI).

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