Kuduz aşısı uygulamasına bağlı omuz yaralanması: bir olgu sunumu

Year 2022, , 1375 - 1377, 30.09.2022

Hatice Kaplanoğlu , Veysel Kaplanoğlu , Aynur Turan , Ece Ünlü Akyüz

https://doi.org/10.17826/cumj.1124528

Abstract

Aşı enjeksiyon bölgesinde oluşan reaksiyonlar genellikle hafif ve geçicidir. Aşılamayı takiben myalji ve artralji gibi kas-iskelet sistemi semptomları yaygın olarak görülmektedir. Üst kolda intramüsküler aşı uygulanmasından sonra omuz ağrısı ve omuzda hareket açıklığının kısıtlanması olarak tanımlanan aşı uygulamasına bağlı omuz yaralanması (SİRVA), yanlış aşı uygulamasının sonucudur. Aşıların intramuskuler uygulanmasında uygun enjeksiyon tekniğinin kullanılması omuz yaralanması riskini azaltacaktır. Burada kuduz aşısı sonrası omuz yaralanması olan 26 yaşındaki bayan olgunun klinik ve manyetik rezonans görüntüleme bulgularını güncel literatür ışığında sunulmuştur.

Keywords

SİRVA, Omuz ağrısı, Aşılama, kuduz, MRG

Shoulder injury related to rabies vaccine administration: a case report

Abstract

Reactions at the vaccine injection site are usually mild and transient. Musculoskeletal symptoms, such as myalgia and arthralgia, are commonly seen following vaccination. Shoulder injury related to vaccine administration (SIRVA), defined as shoulder pain and limited range of motion in the shoulder after intramuscular vaccine administration into the upper arm, may occur due to incorrect vaccine administration. Using the appropriate injection technique in the intramuscular administration of vaccines will reduce the risk of SIRVA. In this paper, we report the clinical and magnetic resonance imaging findings of a 26-year-old female patient presenting with SIRVA after rabies vaccination and discuss this case in light of the current literature.

Keywords

SIRVA, shoulder pain, vaccination, rabies, MRI

References

• 1- Cantarelli Rodrigues T, Hidalgo PF, Skaf AY, Serfaty A. Subacromial-subdeltoid bursitis following COVID-19 vaccination: a case of shoulder injury related to vaccine administration (SIRVA). Skeletal Radiol. 2021;50:2293-97.
• 2-Batra S, Page B. Shoulder injury related to vaccine administration: case series of an emerging occupational health concern. Workplace Health Saf. 2021;69:68–72.
• 3-Wood CT, Ilyas AM. Shoulder Injury Related to Vaccine Administration: Diagnosis and Management. J Hand Surg Glob Online. 2022; 28.
• 4-Bancsi A, Houle SKD, Grindrod KA. Shoulder injury related to vaccine administration and other injection site events. Can Fam Physician. 2019;65:40-2.
• 5- Bancsi A, Houle SKD, Grindrod KA. Getting it in the right spot:shoulder injury related to vaccine administration (SIRVA) and other injection site events. Can Pharm J (Ott). 2018;151:295–9.
• 6-Veera S, Chin J, Kleyn L, Spinelli S, Tafler L. Use of osteopathic manipulation for treatment of chronic shoulder injury related to vaccine administration. Cureus. 2020;12(7):e9156.
• 7-Atanasoff S, Ryan T, Lightfoot R, Johann-Liang R. Shoulder injury related to vaccine administration (SIRVA). Vaccine. 2010;28:8049e8052.
• 8-Ceylan AH, Turan A, Özer B, Cankurtaran D, Ünlü Akyüz E. Shoulder Injuries Related to the COVID-19 Vaccine: A Report of Two Cases. FLORA 2021;26:751-5.
• 9- Hesse EM, Atanasoff S, Hibbs BF, Adegoke OJ, Ng C, Marquez P, et al. Shoulder Injury Related to Vaccine Administration (SIRVA): Petitioner claims to the National Vaccine Injury Compensation Program, 2010-2016. Vaccine. 2020;38:1076-83.
• 10-Wright A, Patel R, Motamedi D. Influenza vaccine-related subacromial/subdeltoid bursitis: a case report. J Radiol Case Rep. 2019;13:24e31.