CC BY 4.0 · TH Open 2021; 05(03): e315-e318
DOI: 10.1055/s-0041-1731774
Case Report

Secondary Immune Thrombocytopenia (ITP) Associated with ChAdOx1 Covid-19 Vaccination – A Case Report

Martin Koch
1   Department of Medicine, Hematology Division, University Hospital Carl Gustav Carus, Dresden, Germany
,
Sybille Fuld
2   Department of Medicine, Nephrology Division, University Hospital Carl Gustav Carus, Dresden, Germany
,
Jan M. Middeke
1   Department of Medicine, Hematology Division, University Hospital Carl Gustav Carus, Dresden, Germany
,
Julia Fantana
3   Department of Medicine, Emergency and Intensive Medicine Division, University Hospital Carl Gustav Carus, Dresden, Germany
,
Simone von Bonin
3   Department of Medicine, Emergency and Intensive Medicine Division, University Hospital Carl Gustav Carus, Dresden, Germany
,
Jan Beyer-Westendorf
1   Department of Medicine, Hematology Division, University Hospital Carl Gustav Carus, Dresden, Germany
› Author Affiliations

Abstract

Novel mRNA and vector-based covid-19 vaccinations have shown high efficacy in preventing symptomatic COVID-19 infections. Compared with the number of performed vaccinations, rates of severe side effects seem low. Rare prothrombotic coagulation disorders with suspected association to ChAdOx1 nCoV-19 (AstraZeneca) have been reported. These cases have gathered considerable media attention and caused a temporary pause of usage of the AstraZeneca vaccine in Europe and several other countries and are currently discussed as vaccine-induced immune thrombotic thrombocytopenia (VITT). However, hemorrhagic complications from ChAdOx1 nCoV-19 vaccination have also been reported but, so far, received less public attention despite considerable potential for life-threatening complications. Here we present a case of severe immune thrombocytopenia after ChAdOx1 covid-19 vaccination and its successful primary management.

Authorship Contribution

MK, SF, JBW wrote this paper; MK, JF, SvB, MM, were involved in the clinical care of this patient and supported the critical revision of the manuscript.




Publication History

Received: 02 April 2021

Accepted: 08 June 2021

Article published online:
30 July 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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