Severe Immune Thrombocytopenia and Myositis After 23-Valent Pneumococcal Vaccine.

Document Type

Article

Publication Date

1-2026

Identifier

DOI: 10.1016/j.pedhc.2025.07.003

Abstract

An adolescent patient developed a severe local inflammatory reaction, acute kidney injury, extensive myofascitis, and profound immune thrombocytopenia resulting in vitreous hemorrhage and long-term permanent visual impairment after 23-valent polysaccharide pneumococcal vaccine administration. This severe adverse outcome has not previously been reported in the literature with this particular vaccination. This case highlights rare but serious potential adverse immunologic effects of polysaccharide vaccines.

Journal Title

Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners

Volume

40

Issue

1

First Page

142

Last Page

146

MeSH Keywords

Adolescent; Humans; Myositis; Pneumococcal Infections; Pneumococcal Vaccines; Purpura, Thrombocytopenic, Idiopathic

PubMed ID

40801863

Keywords

adverse effect; myositis; pneumococcal; thrombocytopenia; vaccine

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