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

doi:10.1016/j.transproceed.2021.09.006

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

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8 引文斯高帕斯（Scopus）

摘要

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.

原文	English
頁（從 - 到）	1575-1578
頁數	4
期刊	Transplantation Proceedings
卷	54
發行號	6
DOIs	https://doi.org/10.1016/j.transproceed.2021.09.006
出版狀態	Published - 2022 7月 1

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Tang, W. R., Hsu, C. W., Lee, C. C., Huang, W. L., Lin, C. Y., Hsu, Y. T., Chang, C., Tsai, M. T., Hu, Y. N., Hsu, C. H., Chen, P. L., Chow, N. H., & Roan, J. N. (2022). A Case Report of Posttransplant Lymphoproliferative Disorder After AstraZeneca Coronavirus Disease 2019 Vaccine in a Heart Transplant Recipient. Transplantation Proceedings, 54(6), 1575-1578. https://doi.org/10.1016/j.transproceed.2021.09.006

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

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.",

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

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doi = "10.1016/j.transproceed.2021.09.006",

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Tang, WR, Hsu, CW, Lee, CC, Huang, WL , Lin, CY , Hsu, YT , Chang, C , Tsai, MT , Hu, YN , Hsu, CH , Chen, PL, Chow, NH & Roan, JN 2022, 'A Case Report of Posttransplant Lymphoproliferative Disorder After AstraZeneca Coronavirus Disease 2019 Vaccine in a Heart Transplant Recipient', Transplantation Proceedings, 卷 54, 編號 6, 頁 1575-1578. https://doi.org/10.1016/j.transproceed.2021.09.006

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AU - Tang, Wen Ruei

AU - Hsu, Che Wei

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AU - Huang, Wei Li

AU - Lin, Chia Ying

AU - Hsu, Ya Ting

AU - Chang, Chen

AU - Tsai, Meng Ta

AU - Hu, Yu Ning

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AU - Chen, Po Lin

AU - Chow, Nan Haw

AU - Roan, Jun Neng

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N2 - 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.

AB - 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.

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

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