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      A Case Report of Acute Severe Necrotizing Pancreatitis following the Johnson & Johnson Vaccine against the Novel SARS-CoV-2

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          Abstract

          Acute pancreatitis is an inflammatory condition, which is a leading gastrointestinal cause of hospitalization in the United States. Several conditions are associated with acute pancreatitis. More recently, there have been a few cases reported of acute pancreatitis following the Pfizer-BioNTech COVID-19 mRNA vaccine. To our knowledge, no cases of acute pancreatitis have been yet reported following the Johnson & Johnson's Janssen COVID-19 vaccine (J& J vaccine). Herein we report a 34-year-old male with no significant past medical history admitted with acute necrotizing pancreatitis, the day following the receipt of the J&J vaccine. Based on the Naranjo and the modified Naranjo scale, the patient met the requirements for probable drug induced pancreatitis. This case report has the objective to raise awareness of a potentially severe side effect of the J&J vaccine. We hope to use this case to support screening all patients for previous history of acute pancreatitis before administration of the J& J vaccine.

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          Most cited references16

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          A method for estimating the probability of adverse drug reactions.

          C A Naranjo, U Busto, E Sellers … (1981)
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            Burden and Cost of Gastrointestinal, Liver, and Pancreatic Diseases in the United States: Update 2018.

            Anne Peery, Seth Crockett, Caitlin C Murphy … (2019)
            Estimates of disease burden can inform national health priorities for research, clinical care, and policy. We aimed to estimate health care use and spending among gastrointestinal (GI) (including luminal, liver, and pancreatic) diseases in the United States.
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              IAP/APA evidence-based guidelines for the management of acute pancreatitis.

              (2013)
              There have been substantial improvements in the management of acute pancreatitis since the publication of the International Association of Pancreatology (IAP) treatment guidelines in 2002. A collaboration of the IAP and the American Pancreatic Association (APA) was undertaken to revise these guidelines using an evidence-based approach. Twelve multidisciplinary review groups performed systematic literature reviews to answer 38 predefined clinical questions. Recommendations were graded using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. The review groups presented their recommendations during the 2012 joint IAP/APA meeting. At this one-day, interactive conference, relevant remarks were voiced and overall agreement on each recommendation was quantified using plenary voting. The 38 recommendations covered 12 topics related to the clinical management of acute pancreatitis: A) diagnosis of acute pancreatitis and etiology, B) prognostication/predicting severity, C) imaging, D) fluid therapy, E) intensive care management, F) preventing infectious complications, G) nutritional support, H) biliary tract management, I) indications for intervention in necrotizing pancreatitis, J) timing of intervention in necrotizing pancreatitis, K) intervention strategies in necrotizing pancreatitis, and L) timing of cholecystectomy. Using the GRADE system, 21 of the 38 (55%) recommendations, were rated as 'strong' and plenary voting revealed 'strong agreement' for 34 (89%) recommendations. The 2012 IAP/APA guidelines provide recommendations concerning key aspects of medical and surgical management of acute pancreatitis based on the currently available evidence. These recommendations should serve as a reference standard for current management and guide future clinical research on acute pancreatitis. Copyright © 2013 IAP and EPC. Published by Elsevier B.V. All rights reserved.
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                Author and article information

                Contributors
                Ayrton I. Bangolo:
                ORCID: https://orcid.org/0000-0002-2133-2480
                Journal
                Journal ID (nlm-ta): Case Rep Infect Dis
                Journal ID (iso-abbrev): Case Rep Infect Dis
                Journal ID (publisher-id): CRIID
                Title: Case Reports in Infectious Diseases
                Publisher: Hindawi
                ISSN (Print): 2090-6625
                ISSN (Electronic): 2090-6633
                Publication date Collection: 2023
                Publication date (Electronic): 22 March 2023
                Volume: 2023
                Electronic Location Identifier: 9965435
                Affiliations
                1Department of Internal Medicine, Palisades Medical Center, North Bergen, NJ, USA
                2Department of Internal Medicine, University of Washington, Seattle, Washington, USA
                Author notes

                Academic Editor: Piyush Baindara

                Author information
                https://orcid.org/0000-0002-2133-2480
                https://orcid.org/0000-0002-0796-6217
                Article
                DOI: 10.1155/2023/9965435
                PMC ID: 10060063
                SO-VID: b19c99b4-d559-41ed-8b11-6faedb1695ba
                Copyright statement: Copyright © 2023 Ayrton I. Bangolo et al.
                License:

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 24 November 2022
                Date revision received : 26 February 2023
                Date accepted : 16 March 2023
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Infectious disease & Microbiology
                Data availability:
                ScienceOpen disciplines: Infectious disease & Microbiology

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