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J Stomatol Oral Maxillofac Surg . Secondary thrombocytopenia after SARS-CoV-2 vaccine: report of a case of hemorrhage and hematoma after minor oral

tetano

Editor, Senior Moderator
J Stomatol Oral Maxillofac Surg


. 2021 Jul 24;S2468-7855(21)00156-7.
doi: 10.1016/j.jormas.2021.07.010. Online ahead of print.
Secondary thrombocytopenia after SARS-CoV-2 vaccine: report of a case of hemorrhage and hematoma after minor oral surgery


Luigi Angelo Vaira[SUP] 1 [/SUP], Luigi Podda[SUP] 2 [/SUP], Piero Doneddu[SUP] 3 [/SUP], Maria Grazia Careddu[SUP] 2 [/SUP], Claudio Fozza[SUP] 4 [/SUP], Giacomo De Riu[SUP] 3 [/SUP]



Affiliations

Abstract

The authors present the case of a patient who underwent the removal of a small bluish lesion of the cheek. After discharge, the patient presented with profuse bleeding and hematoma of the cheek. Blood tests revealed severe secondary immune thrombocytopenia (SITP). SITP was probably triggered by the anti-SARS-CoV-2 Pfizer vaccine, which was inoculated to the patient 3 days before the lesion appeared and 12 days before surgery. The authors' aim is to inform colleagues about this possible, rare, adverse effect of the vaccine. In all patients who have recently undergone the COVID-19 vaccine and who present lesions suspected to be due to blood extravasation of the oral mucosa or unjustified gingival bleeding it is advisable to request a blood count before surgery.

Keywords: COVID-19; SARS-CoV-2; coronavirus; oral surgery; secondary thrombocytopenia; thrombocytopenia; vaccine.
 
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