A Case of TAFRO Syndrome Developed after COVID-19 Vaccination

TAFRO syndrome is a systemic inflammatory disorder, which is characterized by thrombocytopenia, anasarca, fever, reticulin myelofibrosis, renal dysfunction, and organomegaly. It often presents with progressive clinical symptoms and can be fatal. COVID-19 vaccination is important to reduce the number...

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Main Authors: Hitomi Hirose, Hitoshi Suzuki, Yukako Umezawa, Masako Iwasaki, Hiromitsu Fukuda, Hisatsugu Takahara, Shigeki Tomita, Yusuke Suzuki
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2023/7292895
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author Hitomi Hirose
Hitoshi Suzuki
Yukako Umezawa
Masako Iwasaki
Hiromitsu Fukuda
Hisatsugu Takahara
Shigeki Tomita
Yusuke Suzuki
author_facet Hitomi Hirose
Hitoshi Suzuki
Yukako Umezawa
Masako Iwasaki
Hiromitsu Fukuda
Hisatsugu Takahara
Shigeki Tomita
Yusuke Suzuki
author_sort Hitomi Hirose
collection DOAJ
description TAFRO syndrome is a systemic inflammatory disorder, which is characterized by thrombocytopenia, anasarca, fever, reticulin myelofibrosis, renal dysfunction, and organomegaly. It often presents with progressive clinical symptoms and can be fatal. COVID-19 vaccination is important to reduce the number of COVID-19-infected populations and lower the risk of becoming severe. However, serious adverse events have been reported. TAFRO syndrome that progresses after the COVID-19 mRNA vaccination has not yet been reported. A 45-year-old man developed fever, gross hematuria, renal dysfunction, pleural effusions, and ascites immediately after vaccination. This case fulfilled three major categories (thrombocytopenia, anasarca, and systemic inflammation) and two minor categories (renal insufficiency and myelofibrosis) and was diagnosed with TAFRO syndrome. High-dose steroid treatment was initiated, followed by prednisolone administration. After treatment, renal dysfunction and fluid retention were resolved. Universal vaccination against COVID-19 is important for lowering the risk of spreading COVID-19 infection. Several complications, such as renal, hematological, and heart diseases, have been reported; however, its pathogenesis is unclear. The possibility of various complications after the COVID-19 vaccination, including TAFRO syndrome, should be considered.
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institution Kabale University
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publisher Wiley
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series Case Reports in Nephrology
spelling doaj-art-15113e4f172948509340338505e67ee72025-02-03T06:42:47ZengWileyCase Reports in Nephrology2090-665X2023-01-01202310.1155/2023/7292895A Case of TAFRO Syndrome Developed after COVID-19 VaccinationHitomi Hirose0Hitoshi Suzuki1Yukako Umezawa2Masako Iwasaki3Hiromitsu Fukuda4Hisatsugu Takahara5Shigeki Tomita6Yusuke Suzuki7Department of NephrologyDepartment of NephrologyDepartment of NephrologyDepartment of NephrologyDepartment of NephrologyDepartment of NephrologyDepartment of PathologyDepartment of NephrologyTAFRO syndrome is a systemic inflammatory disorder, which is characterized by thrombocytopenia, anasarca, fever, reticulin myelofibrosis, renal dysfunction, and organomegaly. It often presents with progressive clinical symptoms and can be fatal. COVID-19 vaccination is important to reduce the number of COVID-19-infected populations and lower the risk of becoming severe. However, serious adverse events have been reported. TAFRO syndrome that progresses after the COVID-19 mRNA vaccination has not yet been reported. A 45-year-old man developed fever, gross hematuria, renal dysfunction, pleural effusions, and ascites immediately after vaccination. This case fulfilled three major categories (thrombocytopenia, anasarca, and systemic inflammation) and two minor categories (renal insufficiency and myelofibrosis) and was diagnosed with TAFRO syndrome. High-dose steroid treatment was initiated, followed by prednisolone administration. After treatment, renal dysfunction and fluid retention were resolved. Universal vaccination against COVID-19 is important for lowering the risk of spreading COVID-19 infection. Several complications, such as renal, hematological, and heart diseases, have been reported; however, its pathogenesis is unclear. The possibility of various complications after the COVID-19 vaccination, including TAFRO syndrome, should be considered.http://dx.doi.org/10.1155/2023/7292895
spellingShingle Hitomi Hirose
Hitoshi Suzuki
Yukako Umezawa
Masako Iwasaki
Hiromitsu Fukuda
Hisatsugu Takahara
Shigeki Tomita
Yusuke Suzuki
A Case of TAFRO Syndrome Developed after COVID-19 Vaccination
Case Reports in Nephrology
title A Case of TAFRO Syndrome Developed after COVID-19 Vaccination
title_full A Case of TAFRO Syndrome Developed after COVID-19 Vaccination
title_fullStr A Case of TAFRO Syndrome Developed after COVID-19 Vaccination
title_full_unstemmed A Case of TAFRO Syndrome Developed after COVID-19 Vaccination
title_short A Case of TAFRO Syndrome Developed after COVID-19 Vaccination
title_sort case of tafro syndrome developed after covid 19 vaccination
url http://dx.doi.org/10.1155/2023/7292895
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