Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) and its related disease (COVID-19) continue to represent a challenge for humans. To date, vaccination programs have represented an opportunity to navigate the pandemic. However, the advent of new genetic COVID-19 variants has increased more attention representing a worrying threat not only for not vaccinated but also for vaccinated people as virus infections have been shown also in the last ones. Herein, we report different clinical cases and radiological findings of COVID-19 pneumonia in six fully vaccinated patients. Two patients had a history of Rituximab therapy for follicular lymphoma and with persistent positivity for SARS-CoV-2 on nasopharyngeal/oropharyngeal (NP/OP) swabs and with moderate pneumonia on the chest computed tomography (CT). One patient who resulted to be positive to delta variant 8 days after the second vaccination dose, died shortly after. Two patients were hospitalized due to the worsening of fever and dyspnea in presence of mild pneumonia on CT. In one patient mild pneumonia was found on the chest-CT performed after a lipothymic episode associated with chest pain and positive NP/OP swab tested for SARS-CoV-2. These data suggested that in fully vaccinated people, caution should be preserved, and the use of masks and social distancing should be continued in all closed environments. However, further clinical trials should be done to better understand how various factors can influence vaccine immunogenicity as the presence of virus mutations, age factors, and the presence of an immunocompromised state.
【저자키워드】 SARS-CoV-2, COVID-19 pneumonia, COVID-19 vaccines, immunocompromised state, case reports, 【초록키워드】 COVID-19, COVID-19 pneumonia, vaccination, clinical trial, pandemic, therapy, Hospitalized, Pneumonia, social distancing, Genetic, variant, Masks, severe acute respiratory syndrome coronavirus-2, severe acute respiratory syndrome Coronavirus, delta variant, rituximab, Mask, Computed tomography, Chest computed tomography, Severe acute respiratory syndrome, virus mutations, humans, lymphoma, Fever, Dyspnea, Patient, Factors, Immunocompromised, age, Swab, virus infection, respiratory, disease, moderate, patients, virus infections, dose, Follicular lymphoma, chest pain, vaccine immunogenicity, be positive, age factors, related disease, Factor, second vaccination, These data, caution, one patient, two patients, worsening, advent, positive, mild pneumonia, radiological finding, shown, tested, performed, died, Two patient, suggested, representing, follicular, preserved, 【제목키워드】 COVID-19, COVID-19 pneumonia, clinical, Sery,