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The association of pleural effusion and pulmonary embolism

Rujittika Mungmunpuntipantip and Viroj Wiwanitkit
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DOI: https://doi.org/10.7861/clinmed.Let.22.3.1
Clin Med May 2022
Rujittika Mungmunpuntipantip
Dimapur, India
Roles: Senior academic consultant
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Viroj Wiwanitkit
Dr DY Patil University, Pune, India
Roles: Honorary professor
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Editor – We would like to share ideas on the publication ‘Arterial and venous thrombotic stroke after ChAdOx1 nCoV-19 vaccine’.1 Wills et al concluded that ‘These cases illustrate that physicians should be especially mindful of vaccine-induced thrombosis with thrombocytopenia (VITT) in the context of evolving evidence on treatment and in view of the potentially rapid and catastrophic neurological deterioration, leading to fatality despite best supportive care.’ We concur that there might be adverse effects of the COVID-19 vaccine and that neurological complication might be a serious one. In the reported cases, stroke occurred but the neurological disorder might or might not be associated with the vaccine. There are many possible aetiologies of a thrombotic event after vaccination.2 Vaccines might induce abnormal immunity or high blood viscosity and result in thrombotic event.2 There is also a chance of coincidence due to a background medical problem or concurrent medial disorder.2,3 It is necessary to rule out the other possible causes for final conclusion on the vaccine-induced thrombotic event.

  • © Royal College of Physicians 2022. All rights reserved.

References

  1. ↵
    1. Wills A
    , Swallow G, Kirkman MA, Rajan K, Subramanian G. Arterial and venous thrombotic stroke after ChAdOx1 nCoV-19 vaccine. Clin Med 2022;22:184–6.
    OpenUrlAbstract/FREE Full Text
  2. ↵
    1. Mungmunpuntipantip R
    , Wiwanitkit V. COVID-19, neurovascular thrombotic problem and short summary on blood coagulation disorder: a brief review. Egypt J Neurol Psychiatr Neurosurg 2022;58:6.
    OpenUrl
  3. ↵
    1. Mungmunpuntipantip R
    , Wiwanitkit V. Thrombosis after adenovirusvectored COVID-19 vaccination: a concern on underlying illness. Clin Appl Thromb Hemost 2021;27:10760296211060446.
    OpenUrl
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The association of pleural effusion and pulmonary embolism
Rujittika Mungmunpuntipantip, Viroj Wiwanitkit
Clinical Medicine May 2022, 22 (3) 290; DOI: 10.7861/clinmed.Let.22.3.1

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The association of pleural effusion and pulmonary embolism
Rujittika Mungmunpuntipantip, Viroj Wiwanitkit
Clinical Medicine May 2022, 22 (3) 290; DOI: 10.7861/clinmed.Let.22.3.1
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