A Case Report of Posttransplant Lymphoproliferative Disorder After AstraZeneca Coronavirus Disease 2019 Vaccine in a Heart Transplant Recipient

Wen Ruei Tang, Che Wei Hsu, Chia Chi Lee, Wei Li Huang, Chia Ying Lin, Ya Ting Hsu, Chen Chang, Meng Ta Tsai, Yu Ning Hu, Chih Hsin Hsu, Po Lin Chen, Nan Haw Chow, Jun Neng Roan

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)

Abstract

We report a case of a heart transplant recipient who presented with a rapidly growing Epstein-Barr virus (EBV)–positive, diffuse large B-cell lymphoma 7 days after receiving the first dose of the ChAdOx1 nCoV-19 vaccine. Because of the atypical radiologic presentation, the initial tentative diagnosis was a mediastinal abscess. This observation indicates a potential risk of EBV reactivation after coronavirus disease 2019 (COVID-19) vaccination, which might lead to or aggravate the presentation of posttransplant lymphoproliferative disorder in transplantation patients. Transplant surgeons should be aware of the potential immunomodulatory effects of the COVID-19 vaccination.

Original languageEnglish
Pages (from-to)1575-1578
Number of pages4
JournalTransplantation Proceedings
Volume54
Issue number6
DOIs
Publication statusPublished - 2022 Jul 1

All Science Journal Classification (ASJC) codes

  • Surgery
  • Transplantation

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