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Gene & Protein in Disease                                         MIS-A with LETM after SARS-CoV-2 vaccine



            wanes with majority of population having access to    pandemic. Lancet, 395(10237): 1607–1608.
            vaccines, vaccine-related adverse events are gradually      https://doi.org/10.1016/S0140‑6736(20)31094‑1
            emerging. Various reports of Guillain-Barre syndrome,
            transverse myelitis, encephalitis, meningitis, Bell’s palsy,   2.   Verdoni L, Mazza A, Gervasoni A, et al., 2020, An outbreak
            and hemorrhagic strokes, CNS demyelination, myasthenic   of severe Kawasaki-like disease at the Italian epicentre of
                                                                  the SARS‑CoV‑2 epidemic: An observational cohort study.
            syndromes, and MIS-A have emerged after SARS-CoV-2    Lancet, 395(10239): 1771–1778.
            vaccination [11-14] .  Our  case  report  provides  insights to
            aid further investigation on this topic. Based on the      https://doi.org/10.1016/S0140‑6736(20)31103‑X
            case presented here, the onset of MIS-A with LETM   3.   Morris SB, Schwartz NG, Patel P, et al., 2020, Case series of
            occurs following SARS-CoV-2 vaccination. However,     multisystem  inflammatory  syndrome  in  adults  associated
            the potential association between vaccination and these   with SARS-CoV-2 infection-United  Kingdom and United
            symptoms should not dissuade us from vaccination, which   States, March-August 2020. MMWR Morb Mortal Wkly Rep,
            regardless has proven to be a protective approach against   69(40): 1450–1456.
            SARS-CoV-2 infection.                                 https://doi.org/10.15585/mmwr.mm6940e1

            Acknowledgments                                    4.   Das  S,  Kar  SS,  Samanta  S,  et  al.,  2022,  Immunogenic
                                                                  and  reactogenic  efficacy  of  Covaxin  and  Covishield:
            None.                                                 A comparative review. Immunol Res, 70(3): 289–315.
                                                                  https://doi.org/10.1007/s12026‑022‑09265‑0
            Funding
                                                               5.   Garg RK, Paliwal V, Malhotra HS,  et al., 2023, Spectrum
            None.                                                 of serious neurological and psychiatric adverse events in
                                                                  Indian COVID‑19 vaccine recipients: A systematic review
            Conflict of interest                                  of case reports and case series. Neurol India, 71: 209–227.
            The authors declare they have no competing interests.     https://doi.org/10.4103/0028‑3886.375420
            Author contributions                               6.   Uwaydah AK, Hassan NM, Abu Ghoush MS, et al., 2021,
                                                                  Adult multisystem inflammatory syndrome in a patient who
            Conceptualization: Anirban Gupta, Sudheer Pandey      recovered from COVID-19 postvaccination. BMJ Case Rep,
            Investigation: All authors                            14(4): e242060.
            Writing – original draft: Anirban Gupta, Sudheer Pandey     https://doi.org/10.1136/bcr‑2021‑242060
            Writing – review & editing: Anirban Gupta
                                                               7.   Salzman MB, Huang CW, O’Brien CM,  et  al., 2021,
            Ethics approval and consent to participate            Multisystem inflammatory syndrome after SARS-CoV-2
                                                                  infection and COVID-19 vaccination.  Emerg  Infect  Dis,
            Ethical approval was waived due to retrospective nature of   27(7): 1944–1948.
            report. Informed consent was taken from of patients.     https://doi.org/10.3201/eid2707.210594
            Consent for publication                            8.   Gao JJ, Tseng HP, Lin CL,  et al., 2021, Acute transverse
                                                                  myelitis following Covid-19 vaccination.  Vaccines  (Basel),
            Consent for publication was taken from the patient verbally   9(9): 1008.
            and in writing.
                                                                  https://doi.org/10.3390/vaccines9091008
            Availability of data                               9.   Pagenkopf C, Südmeyer M, 2021, A case of longitudinally
            Not applicable.                                       extensive transverse myelitis following vaccination against
                                                                  Covid-19. J Neuroimmunol, 358: 577606.
            Further disclosure                                    https://doi.org/10.1016/j.jneuroim.2021.577606
            This case was presented in Indian Academy of Neurology   10.  Pourmoghaddas Z, Sadeghizadeh A, Tara SZ, et al., 2021,
            Conference in New Delhi in 2022 and the paper has been   Longitudinally extensive transverse myelitis as a sign of
            uploaded  to  Research  Square  (https://doi.org/10.21203/  multisystem inflammatory syndrome following COVID-19
            rs.3.rs-1564946/v1).                                  infection:  A  pediatric  case  report.  J  Neuroimmunol,
                                                                  360: 577704.
            References                                            https://doi.org/10.1016/j.jneuroim.2021.577704

            1.   Riphagen S, Gomez X, Gonzalez-Martinez C, et al., 2020,   11.  Ismail II, Salama S, 2022, A systematic review of cases of
               Hyperinflammatory shock in children during COVID-19   CNS demyelination following COVID-19 vaccination.


            Volume 2 Issue 3 (2023)                         5                        https://doi.org/10.36922/gpd.1320
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