 |
 |
HK J Paediatr (New Series)
Vol 21. No. 2,
2016
|
|
HK J Paediatr (New Series) 2016;21:105-108
Case Report
Is It or Is It Not Vaccine-associated Paralytic Poliomyelitis: A Case Report of Acute Flaccid Paralysis after Oral Polio Vaccine Booster Dose
I Chung, BHY Chung, SHS Chan Department of Paediatrics & Adolescent Medicine, The University of Hong Kong, Queen Mary Hospital, 102 Pokfulam Road, Pokfulam, Hong Kong, China I Chung (鍾曉彤) MBBS(HK) BHY Chung (鍾侃言) MBBS(HK), FHKAM(Paed), FCCMG (Clinical Genetics) SHS Chan (陳凱珊) MBBS(HK), MMedSc(HKU), FHKAM(Paed) Correspondence to: Dr I Chung Received June 26, 2015
Abstract Poliovirus spread has been described as a "Public Health Emergency of International Concern" despite effective immunisation programmes. With the rare but serious adverse effect of vaccine-associated paralytic poliomyelitis after oral polio vaccination, the target for global eradication has evolved to include both endemic and vaccine-related poliomyelitis. Until oral vaccines are completely withdrawn, the risks of vaccine-associated paralysis continue to exist, requiring a high index of suspicion and timely investigations to evaluate the etiology of acute flaccid paralysis. Here we present a four year old boy with acute paralysis one month after oral polio booster dose. This case illustrates how vaccine-associated paralytic poliomyelitis should be queried as a possible differential during the work-up for acute flaccid paralysis, especially after excluding all other causes and in the context of a positive immunisation history. Keyword : Oral poliomyelitis vaccine; Poliomyelitis; Vaccine-associated paralytic poliomyelitis Abstract in Chinese
|
|
 |