[Confusion and abdominal pain after COVID-19 vaccination]
K Beelen1,2, J Schouten3, M C de Boer4
1Rijnstate, afd. Interne Geneeskunde, Arnhem.
Background:
Vaccine-induced immune thrombotic trombocytopenia (VITT) is a rare phenomenon, that may present with diffuse and atypical symptoms.
Case Description:
We present a case of 63 years old female patient with abdominal pain, confusion and tromboctytopenia. CT scan shows sinustrombosis and trombosis of the vena renalis. The diagnosis VITT was confirmed by a positive HIT test. After initiating treatment with immunoglobulines and a non-heparinoid anticoagulans, symptoms improved and platelet count increased.
Conclusion:
This case illustrates that awareness in case of atypical symptoms and a history of vaccination is important to recognize this phenomenon.
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