Cytokine release syndrome in a patient with non-small cell lung cancer on ipilimumab and nivolumab maintenance therapy after vaccination with the mRNA-1273 vaccine: a case report.

Author: ChibaHirofumi, KoshinoYuta, MichimataHaruhiko, NagayamaDaiki, SumiToshiyuki, WatanabeHiroki, YamadaYuichi

Paper Details 
Original Abstract of the Article :
Cytokine release syndrome (CRS) is caused by the release of inflammatory cytokines that appear during or immediately after administration of a therapeutic antibody and can cause a variety of symptoms. COVID-19 vaccination is effective in cancer patients and prevents breakthrough infections. The safe...See full text at original site
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引用元:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9554683/

データ提供:米国国立医学図書館(NLM)

Cytokine Release Syndrome: A Case of Immunotherapy and COVID-19 Vaccination

Cytokine release syndrome (CRS) is a potentially serious complication that can occur in patients receiving immunotherapy, particularly those undergoing treatment with immune checkpoint inhibitors (ICIs). This case report details a patient with non-small cell lung cancer who developed CRS after receiving the mRNA-1273 COVID-19 vaccine while on ipilimumab and nivolumab maintenance therapy. This case raises concerns about the potential interplay between ICI therapy and COVID-19 vaccination.

Navigating the Complexities of Immunotherapy

This case highlights the complexity of managing patients receiving ICI therapy, especially in the context of COVID-19 vaccination. While the study provides insights into the potential risks of CRS, it's crucial to remember that this is a single case report, and further research is needed to understand the broader implications of COVID-19 vaccination in patients receiving ICI therapy. The findings suggest that a comprehensive approach involving close monitoring, careful communication between healthcare providers and patients, and individualized treatment plans is crucial for managing these patients.

Balancing Benefits and Risks: A Cautious Approach

While COVID-19 vaccination is essential for protecting individuals from severe illness, it's important to proceed with caution in patients receiving ICI therapy. This case underscores the need for careful risk assessment and individualized decision-making to balance the potential benefits of vaccination against the potential risks of CRS. Just as a camel carefully navigates a desert landscape, healthcare professionals must carefully weigh the risks and benefits of each decision in the context of immunotherapy and COVID-19 vaccination.

Dr. Camel's Conclusion

This case report serves as a reminder of the complex interactions that can occur between immunotherapy and COVID-19 vaccination. It underscores the importance of close monitoring and careful management of patients receiving ICI therapy, particularly those who have received COVID-19 vaccines. While further research is needed to understand the broader implications of this interaction, this case highlights the importance of a collaborative and proactive approach to patient care. Think of it like a desert oasis, where vigilance and careful resource management are crucial for survival.

Date :
  1. Date Completed n.d.
  2. Date Revised 2022-10-19
Further Info :

Pubmed ID

36248324

DOI: Digital Object Identifier

PMC9554683

Related Literature

SNS
PICO Info
in preparation
Languages

English

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