{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:44Z","timestamp":1740126824162,"version":"3.37.3"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"09","license":[{"start":{"date-parts":[[2021,11,12]],"date-time":"2021-11-12T00:00:00Z","timestamp":1636675200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background The COVID-19 pandemic has occupied the time and resources of health care professionals for more than 1 year. The risk of missed diagnoses has been discussed in the medical literature, mainly for common diseases such as cancer and cardiovascular events. However, rare diseases also need appropriate attention in times of a pandemic.<\/jats:p><jats:p>\n          Case Report We report a 34-year-old woman with fever, pinprick sensation in her chest and thoracic spine, and dizziness after receiving the first dose of ChAdOx1 nCoV-19 vaccination. The patient\u2019s condition worsened with abdominal pain, red urine, and hyponatremia, needing intensive care admission. Syndrome of inappropriate antidiuretic hormone secretion (SIADH) was diagnosed. Vaccine-induced thrombocytopenia and thrombosis were ruled out. Acute hepatic porphyria was finally diagnosed, and the patient recovered completely after treatment with hemin.<\/jats:p><jats:p>\n          Conclusion Currently, the focus of physicians is on COVID-19 and associated medical problems, such as vaccine side effects. However, it is important to be vigilant for other uncommon medical emergencies in medically exceptional situations that may shift our perception.<\/jats:p>","DOI":"10.1055\/a-1659-4481","type":"journal-article","created":{"date-parts":[[2021,11,12]],"date-time":"2021-11-12T23:41:41Z","timestamp":1636760501000},"page":"1326-1331","source":"Crossref","is-referenced-by-count":2,"title":["Red urine and a red herring \u2013 diagnosing rare diseases in the light of the COVID-19 pandemic"],"prefix":"10.1055","volume":"60","author":[{"given":"Philipp","family":"Jud","sequence":"additional","affiliation":[{"name":"Department of Angiology, Medical University of Graz, Graz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerald","family":"Hackl","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, Medical University of Graz, Graz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander Christian","family":"Reisinger","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, Medical University of Graz, Graz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Horvath","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria"},{"name":"CBMed Center of Biomarker Research, Graz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Eller","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, Medical University of Graz, Graz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5508-8271","authenticated-orcid":false,"given":"Vanessa","family":"Stadlbauer","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria"},{"name":"CBMed Center of Biomarker Research, Graz, 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