scholarly journals Post-mRNA COVID-19 Vaccination Myocarditis

Author(s):  
Abhishek Matta ◽  
Rekha Kallamadi ◽  
Danielle Matta ◽  
Dinesh Banda

A new trend of myocarditis among young adults who received mRNA vaccines for COVID-19 is emerging. We present the case of a young adult who presented with chest pain 3 days after the second dose of Pfizer-BioNTech COVID-19 vaccine. He had elevated troponin I and C-reactive protein levels at the time of admission. Electrocardiogram (ECG) and echocardiogram findings were unremarkable. The patient improved with conservative management and was discharged home the next day.

2010 ◽  
Vol 70 (8) ◽  
pp. 1229-1236 ◽  
Author(s):  
Aydin Nazmi ◽  
Isabel O. Oliveira ◽  
Bernardo L. Horta ◽  
Denise P. Gigante ◽  
Cesar G. Victora

Author(s):  
Vinod Dhakad ◽  
Sushma Trikha ◽  
Neelima Singh ◽  
Archana Kansal

Background: C-reactive protein (CRP) is a valuable biomarker of sepsis. Levels of CRP increase very rapidly in response to infection, and decrease just as rapidly with the resolution of the condition. The aim of the research was to study, C-reactive protein levels in patients of sepsis and to study the pattern of CRP levels in patients of Sepsis with hypertension, diabetes, smokers and alcoholics.Methods: This prospective observational cohort study was conducted from December 2016 to September 2018 in 100 cases of sepsis. Patients presenting in emergency with sepsis were included as subjects. C- reactive protein was measured in every patient at the time of admission and after 72 hours.  Facts related to history, clinical examination and biochemical parameters were recorded in a pretyped proforma. Data were analyzed using SPSS software.Results: Males outnumbered females. Most of the patients40(40%)  were in the age group of  less than 30 years  age group. CRP levels were markedly elevated in patients with diabetes mellitus (92.2±102.63) as compared to patients with hypertension (36.66±26.97) or both (24.20±12.87). CRP levels were higher in alcoholics (60.59±44.20) as compared to smokers (13.37±10.96).  CRP levels decreased significantly after 72 hours compared to CRP levels at the time of admission (p <0.001) across all patients suggestive of acute infection.Conclusions: Serial CRP measurement, rather than a single determination at the time of admission, is cheap and valuable in the diagnosis of sepsis and in monitoring the response to therapy.  CRP levels shows exaggerated response in diabetes mellitus and alcoholics with sepsis in this study.


2009 ◽  
Vol 21 (2) ◽  
pp. 192-199 ◽  
Author(s):  
Aydin Nazmi ◽  
David C. Gonzalez ◽  
Isabel O. Oliveira ◽  
Bernardo L. Horta ◽  
Denise P. Gigante ◽  
...  

2007 ◽  
Vol 35 (2) ◽  
pp. 114-119 ◽  
Author(s):  
Pekka V. Ylöstalo ◽  
Marjo-Riitta Järvelin ◽  
Jaana Laitinen ◽  
Matti L. E. Knuuttila

Author(s):  
Aparna Sinha ◽  
Mukesh Kumar Sharma ◽  
Komal Tripathi ◽  
Nandini Duggal ◽  
Vinay Kumar Tiwari

Abstract Background Burn is a leading cause of fatality in a developing country. C-reactive protein levels (CRP) and procalcitonin (PCT) can be prognostic indicators for the burn patients' mortality. Aim To assess serial levels of serum PCT and serum CRP as prognostic indicators in burns. Patient and Methods In patients admitted with burns, alternate-day serum PCT and CRP were measured from the time of admission until the time of discharge or until survival. The change in trends of CRP and PCT serum levels were studied, and it was then correlated with mortality among these burn patients. Results The first-day value of serum PCT > 1772 pg/mL and serum CRP > 71 mg/mL or any value of serum PCT > 2163 pg/mL and of serum CRP > 90 mg/L indicate a poor prognosis in burns. Conclusions The day-1 values of PCT and CRP were significantly higher in nonsurvivors than survivors in burns. The increasing trends of serum PCT and CRP levels are independent predictors of mortality in burns requiring prompt intervention. Rising PCT and CRP level denote poor prognosis in burns with an increased likelihood of death by 4.5 and 23.6 times, respectively.


2021 ◽  
Vol 26 (3) ◽  
pp. 42-44
Author(s):  
Adeline Larisa Horga ◽  
Mihai Leonida Neamţu

Abstract Respiratory tract infections are the most common infections find at pediatric age. Children with lower respiratory tract infections can presents severe forms, which is why early diagnosis and treatment are essential. Choosing the therapy is made according to the etiology, but at the time of admission it is difficult to establish the etiology of the disease and for this reason, most often, it is decided to initiate the antibiotic therapy. Excessive antibiotic prescription, in cases that it is not justified, is really a problem because it contributes to the increase of antimicrobial resistance. A study was conducted in order to limit the hypothesis of prolonged antibiotic therapy, which also prolongs the duration of hospitalization. By anticipating C-reactive protein and procalcitonin levels we could guide or reconsider the antibiotic treatment.


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