The SARS-CoV-2 vaccine roll-out has been successful around the world. However, there are increasing concerns about adverse events. We report two pediatric cases of Multisystem-Inflammatory-Syndrome (MIS-C) with neurological involvement that occurred after SARS-CoV-2 vaccination and unknown recent SARS-CoV-2 infection. Brain magnetic resonance revealed mild-encephalopathy with reversible-splenial-lesion in both cases and complete resolution within 4 weeks. In conclusion, this report aims to describe rare emerging clinical entities that can help pediatricians to make an early diagnosis and to provide appropriate treatment. Multisystem-Inflammatory-Syndromes following COVID-19 vaccination remain rare events. When a history of a recent contact with SARS-CoV-2 is present, a careful evaluation by the clinicians in charge of immunization activities is suggested prior to proceeding with the vaccination.

Santilli, V., Manno, E.c., Giancotta, C., Rossetti, C., Cotugno, N., Amodio, D., et al. (2022). Two Pediatric Cases of Multisystem Inflammatory Syndrome with Overlapping Neurological Involvement Following SARS-CoV-2 Vaccination and Unknown SARS-CoV2 Infection: The Importance of Pre-Vaccination History. VACCINES, 10(7), 1136 [10.3390/vaccines10071136].

Two Pediatric Cases of Multisystem Inflammatory Syndrome with Overlapping Neurological Involvement Following SARS-CoV-2 Vaccination and Unknown SARS-CoV2 Infection: The Importance of Pre-Vaccination History

Cotugno N.
Conceptualization
;
Amodio D.;Deodati A.;Longo D.;Palma P.
2022-01-01

Abstract

The SARS-CoV-2 vaccine roll-out has been successful around the world. However, there are increasing concerns about adverse events. We report two pediatric cases of Multisystem-Inflammatory-Syndrome (MIS-C) with neurological involvement that occurred after SARS-CoV-2 vaccination and unknown recent SARS-CoV-2 infection. Brain magnetic resonance revealed mild-encephalopathy with reversible-splenial-lesion in both cases and complete resolution within 4 weeks. In conclusion, this report aims to describe rare emerging clinical entities that can help pediatricians to make an early diagnosis and to provide appropriate treatment. Multisystem-Inflammatory-Syndromes following COVID-19 vaccination remain rare events. When a history of a recent contact with SARS-CoV-2 is present, a careful evaluation by the clinicians in charge of immunization activities is suggested prior to proceeding with the vaccination.
2022
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/38 - PEDIATRIA GENERALE E SPECIALISTICA
English
COVID-19 vaccination
mild encephalitis/encephalopathy with reversible splenial lesion (MERS)
multisystem inflammatory syndrome following SARS-CoV-2 vaccination (MIS-V)
multisystem inflammatory syndrome in children (MIS-C)
severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Santilli, V., Manno, E.c., Giancotta, C., Rossetti, C., Cotugno, N., Amodio, D., et al. (2022). Two Pediatric Cases of Multisystem Inflammatory Syndrome with Overlapping Neurological Involvement Following SARS-CoV-2 Vaccination and Unknown SARS-CoV2 Infection: The Importance of Pre-Vaccination History. VACCINES, 10(7), 1136 [10.3390/vaccines10071136].
Santilli, V; Manno, Ec; Giancotta, C; Rossetti, C; Cotugno, N; Amodio, D; Rotulo, Ga; Deodati, A; Bianchi, R; Lucignani, G; Longo, D; Valeriani, M; Palma, P
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/311153
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