Show simple item record

dc.contributor.authorMcNeilly, Bryan P.
dc.contributor.authorWilkerson, R. Gentry
dc.date.accessioned2022-08-15T13:12:35Z
dc.date.available2022-08-15T13:12:35Z
dc.date.issued2022-01-01
dc.identifier.urihttp://hdl.handle.net/10713/19570
dc.description.abstractBackground: The mass immunization campaign against Coronavirus disease 2019 (COVID-19) has resulted in more patients presenting to the emergency department (ED) with concern for a vaccine reaction. Case Report: A 68-year-old man presented to the ED reporting an allergic reaction to the COVID-19 vaccine. He initially noted swelling of his face, neck, and right arm after receiving the first dose of the vaccine. After his second dose of the vaccine, the swelling became more pronounced and prompted him to seek care. On examination, he had fullness of the neck and engorgement of the left external jugular vein, which were exacerbated when the patient raised his arms above his head, consistent with Pemberton's sign. Apart from the swelling of the head and neck, there were no other findings consistent with an allergic reaction. The presence of Pemberton's sign prompted a computed tomography scan of the chest with contrast, which revealed a paratracheal mass measuring 4.5 × 2.0 cm with marked narrowing of the superior vena cava (SVC). The patient was admitted to the hospital for SVC syndrome, and further workup revealed a non-small cell lung cancer. Why Should an Emergency Physician Be Aware of This?: Patients may misattribute their symptoms to a COVID vaccine reaction when they are, in fact, experiencing a more serious underlying disease. This case highlights the importance of a thorough physical examination and maintaining a broad differential diagnosis. In this case, the presence of Pemberton's sign raised suspicion for SVC syndrome, and prompted further workup. © 2022en_US
dc.description.urihttps://doi.org/10.1016/j.jemermed.2022.01.031en_US
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofJournal of Emergency Medicineen_US
dc.subjectCOVID-19en_US
dc.subjectnon-small cell lung canceren_US
dc.subjectPemberton's signen_US
dc.subjectSVC syndromeen_US
dc.subjectvaccine reactionen_US
dc.titleNot Feeling Swell: Superior Vena Cava (SVC) Syndrome Falsely Attributed to COVID-19 Vaccine Reactionen_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.jemermed.2022.01.031
dc.source.journaltitleJournal of Emergency Medicine


Files in this item

Thumbnail
Name:
Publisher version

This item appears in the following Collection(s)

Show simple item record