Multisystem Inflammatory Syndrome Leading to Myocardial Infarction After SARS-CoV-2 Vaccination

The most common adverse effects of SARS-CoV-2 vaccines are injection site reactions and systemic symptoms, such as fever and malaise, which are typically self-limiting. Multisystem inflammatory syndrome after SARS-CoV-2 vaccination (MIS-V) is rare. In this report, we describe a case of a 22-year-old...

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Main Authors: Yuki Shimada, Masao Takigami, Shunya Kaneshita, Kenji Yanishi, Satoaki Matoba, Yutaka Kawahito
Format: Article
Language:English
Published: American College of Physicians 2022-11-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2022.0747
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author Yuki Shimada
Masao Takigami
Shunya Kaneshita
Kenji Yanishi
Satoaki Matoba
Yutaka Kawahito
author_facet Yuki Shimada
Masao Takigami
Shunya Kaneshita
Kenji Yanishi
Satoaki Matoba
Yutaka Kawahito
author_sort Yuki Shimada
collection DOAJ
description The most common adverse effects of SARS-CoV-2 vaccines are injection site reactions and systemic symptoms, such as fever and malaise, which are typically self-limiting. Multisystem inflammatory syndrome after SARS-CoV-2 vaccination (MIS-V) is rare. In this report, we describe a case of a 22-year-old man who developed MIS-V with myocardial infarction. Optical coherence tomography (OCT) showed blurring of intravascular structure, intimal thickening, and medial vessel destruction. High-dose glucocorticoid and antithrombotic therapy were effective as shown through improvement in OCT findings.
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publisher American College of Physicians
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series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-397aa1bd1ac94512a872c19fca5dfe8d2025-08-20T03:18:45ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642022-11-011910.7326/aimcc.2022.0747Multisystem Inflammatory Syndrome Leading to Myocardial Infarction After SARS-CoV-2 VaccinationYuki Shimada0Masao Takigami1Shunya Kaneshita2Kenji Yanishi3Satoaki Matoba4Yutaka Kawahito51Department of Inflammation and Immunology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan2Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan1Department of Inflammation and Immunology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan2Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan2Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan1Department of Inflammation and Immunology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, JapanThe most common adverse effects of SARS-CoV-2 vaccines are injection site reactions and systemic symptoms, such as fever and malaise, which are typically self-limiting. Multisystem inflammatory syndrome after SARS-CoV-2 vaccination (MIS-V) is rare. In this report, we describe a case of a 22-year-old man who developed MIS-V with myocardial infarction. Optical coherence tomography (OCT) showed blurring of intravascular structure, intimal thickening, and medial vessel destruction. High-dose glucocorticoid and antithrombotic therapy were effective as shown through improvement in OCT findings.https://www.acpjournals.org/doi/10.7326/aimcc.2022.0747
spellingShingle Yuki Shimada
Masao Takigami
Shunya Kaneshita
Kenji Yanishi
Satoaki Matoba
Yutaka Kawahito
Multisystem Inflammatory Syndrome Leading to Myocardial Infarction After SARS-CoV-2 Vaccination
Annals of Internal Medicine: Clinical Cases
title Multisystem Inflammatory Syndrome Leading to Myocardial Infarction After SARS-CoV-2 Vaccination
title_full Multisystem Inflammatory Syndrome Leading to Myocardial Infarction After SARS-CoV-2 Vaccination
title_fullStr Multisystem Inflammatory Syndrome Leading to Myocardial Infarction After SARS-CoV-2 Vaccination
title_full_unstemmed Multisystem Inflammatory Syndrome Leading to Myocardial Infarction After SARS-CoV-2 Vaccination
title_short Multisystem Inflammatory Syndrome Leading to Myocardial Infarction After SARS-CoV-2 Vaccination
title_sort multisystem inflammatory syndrome leading to myocardial infarction after sars cov 2 vaccination
url https://www.acpjournals.org/doi/10.7326/aimcc.2022.0747
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