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However, following the WHO Assessment of causality of individual adverse events following immunization (AEFI) tool,<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">2</span></a> we believe that this case meets the most relevant criteria: temporality and known causal association (VITT). The patient had no other classic risk factors for pituitary apoplexy: pregnancy, postpartum, trauma, hypertension, coagulopathy, recent surgery, or age in the 5–6th decade of life. She also did not present any concurrent incidences. Besides, our patient did not meet the epidemiological criteria for dengue<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">3</span></a> nor did she present suspicious symptoms according to the Andalusian Dengue Surveillance Plan.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">4</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding resources</span><p id="par0010" class="elsevierStylePara elsevierViewall">This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interests.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding resources" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:4 [ 0 => array:3 [ "identificador" => "bib0025" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pituitary apoplexy and COVID-19 vaccination: correspondence" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R. Mungmunpuntipantip" 1 => "V. Wiwanitkit" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.medcli.2021.12.015" "Revista" => array:2 [ "tituloSerie" => "Med Clin" "fecha" => "2022" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0030" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Assessment of causality of individual adverse events following immunization (AEFI): a WHO tool for global use" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A.E. Tozzi" 1 => "E.J. Asturias" 2 => "M.R. Balakrishnan" 3 => "N.A. Halsey" 4 => "B. Law" 5 => "P.L. Zuber" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.vaccine.2013.08.087" "Revista" => array:6 [ "tituloSerie" => "Vaccine" "fecha" => "2013" "volumen" => "31" "paginaInicial" => "5041" "paginaFinal" => "5046" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24021304" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0035" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Characterization of the first autochthonous dengue outbreak in Spain (August–September 2018)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S. Monge" 1 => "V. García-Ortúzar" 2 => "B. López Hernández" 3 => "M.Á. Lopaz Pérez" 4 => "S. Delacour-Estrella" 5 => "M.P. Sánchez-Seco" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.actatropica.2020.105402" "Revista" => array:5 [ "tituloSerie" => "Acta Trop" "fecha" => "2020" "volumen" => "205" "paginaInicial" => "10540" "paginaFinal" => "10542" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0040" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Red Nacional de Vigilancia Epidemiológica. Protocolo de Vigilancia de Dengue; 2017. <a target="_blank" href="https://juntadeandalucia.es/export/drupaljda/salud_5af95879cc593_DENGUE_25082017.pdf">https://juntadeandalucia.es/export/drupaljda/salud_5af95879cc593_DENGUE_25082017.pdf</a> [consulted 01.02.22]." ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/00257753/0000015900000002/v1_202207080542/S0025775322001737/v1_202207080542/en/main.assets" "Apartado" => array:4 [ "identificador" => "93348" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Cartas al Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/00257753/0000015900000002/v1_202207080542/S0025775322001737/v1_202207080542/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775322001737?idApp=UINPBA00004N" ]
