Vaccine-induced immune thrombotic thrombocytopenia (VITT) is a rare complication after vaccination of Oxford-AstraZeneca coronavirus disease 2019 (COVID-19) vaccine (AZD1222) or Janssen COVID-19 vaccine. It makes a rare complication of thrombosis at common and/or uncommon organs with thrombocytopenia after COVID-19 vaccination four to 28 days later and most patients were younger than 60 years of age. We reported the case of a 75-year-old female with end-stage renal disease who received regular hemodialysis. She received Oxford-AstraZeneca COVID-19 vaccination eight days ago and then she suffered from intermittent chest tightness and epigastric pain with tarry stool passage for two days. Severe thrombocytopenia with elevated D-dimer value was noted and computed tomography of the chest showed azygos vein thrombosis. Elevated cardiac enzyme with ST-T change in 12-lead electrocardiogram was also noted. For positive anti-platelet factor 4 antibodies, VITT with myocardial infarction and azygos vein thrombosis was diagnosed.
【저자키워드】 Hemodialysis, Myocardial infarction, vaccine-induced immune thrombotic thrombocytopenia, chadox1 ncov19 vaccine, azygos vein thrombosis, 【초록키워드】 COVID-19, coronavirus disease, antibodies, Vaccine, COVID-19 vaccine, vaccination, thrombosis, immune, Computed tomography, Stool, AZD1222, COVID-19 vaccination, Chest, female, Patient, Pain, End-stage renal disease, age, janssen, Oxford-AstraZeneca, enzyme, thrombotic, positive, organ, D-dimer value, 12-lead electrocardiogram, reported, diagnosed, elevated, eight, suffered, 【제목키워드】 ChAdOx1 nCoV-19, Vein,