Diagnosis of acute leukemia following low back and leg pain after COVID-19 vaccination : A case report
COVID–19 백신 접종 후 발생한 하지 통증에서 백혈병 진단까지 - 증례 보고 - COVID–19 백신 접종 후 하지 통증 환자에서의 AML 진단
Seung Tae Choi, Ho Sik Moon, Chang Jae Kim, Siwook Chung
언어
한국어(KOR)
URL
https://www.earticle.net/Article/A480211
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※ 학술발표대회집, 워크숍 자료집 중 4페이지 이내 논문은 '요약'만 제공되는 경우가 있으니, 구매 전에 간행물명, 페이지 수 확인 부탁 드립니다.
4,000원
원문정보
초록
영어
Following the COVID-19 pandemic in 2020, encounters with patients experiencing post-vaccination pain have become increasingly common in outpatient settings. This case report highlights a 47-year-old male, initially devoid of any underlying conditions, presenting with persistent lower back and bilateral thigh pain following his third COVID-19 vaccination. Despite analgesics, his pain intensified, prompting further investigation. Lumbar MRI revealed mild disc protrusion at L4-L5 and widespread signal intensity abnormalities in the vertebrae and pelvis, suggesting a hematogenous disorder. Subsequent blood tests showed decreased platelets and atypical leukocytes, leading to a final diagnosis of acute myeloblastic leukemia after being transferred to the department of hematology. This case underscores the importance of comprehensive assessment in patients with post-vaccination symptoms, where seemingly routine pain may indicate underlying severe conditions. It highlights the necessity for pain physicians to consider a broad differential diagnosis, including serious hematological diseases, when evaluating post-vaccination complaints.
Seung Tae Choi [ 최승태 | Department of Anesthesiology and Pain Medicine, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea ]
Ho Sik Moon [ 문호식 | Department of Anesthesiology and Pain Medicine, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea ]
Chang Jae Kim [ 김창재 | Department of Anesthesiology and Pain Medicine, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea ]
Siwook Chung [ 정시욱 | Department of Anesthesiology and Pain Medicine, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea ]
Corresponding Author