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Cardiogenic shock revealing myocarditis after mRNA vaccination against covid-19: Case report and brief review for the first case in Morocco

and importance: After its unexpected effectiveness in the clinical trials, the anti-COVID-19 vaccine type mRNA was launched on December 11, 2020, but a few months later, several reports of post-mRNA vaccination myocarditis were published, but without any proven causal link. We report the case of a 1...

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Bibliographic Details
Published in:Annals of medicine and surgery 2022-02, Vol.74, p.103210, Article 103210
Main Authors: Mimouni, Hamza, Bahouh, Choukri, amaqdouf, Saida, laaribi, Ilyass, Baddi, Mohammed, Berichi, Samya, Bkiyar, Houssam, ismaili, Nabila, El ouafi, Noha, Housni, Brahim
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Language:English
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Summary:and importance: After its unexpected effectiveness in the clinical trials, the anti-COVID-19 vaccine type mRNA was launched on December 11, 2020, but a few months later, several reports of post-mRNA vaccination myocarditis were published, but without any proven causal link. We report the case of a 14-year-old teenager admitted to the emergency department for a cardiogenic shock, the patient mentioned that he had an anti-COVID 19 vaccination 10 days before his admission. First, the vasoactive drugs had stabilized the patient; the troponins came back highly favorable but later confirmed myocarditis by magnetic resonance imaging. In this sense an etiological analysis was made and it came back without any particularities, leaving us relating the myocarditis to the vaccination. Post-vaccination myocarditis is a rare event, with very few reports in the literature. After the introduction of COVID vaccination, several reports were published, mostly after the mRNA vaccine. Until now, no causal link has been proven, so we need to have more reports in this sense to have a better knowledge of this phenomenon. Until we obtain a more precise explanation of the mechanism of myocarditis after vaccination with the anti-COVID-19 vaccine, all symptoms suggesting myocarditis should be systematically monitored during the first 7 days after vaccination. •Myocarditis after COVID 19 vaccination is currently a controversial issue.•Cardiac MRI is the gold standard for diagnosis.•Cardiogenic shock is a serious complication of acute myocarditis.
ISSN:2049-0801
2049-0801
DOI:10.1016/j.amsu.2021.103210