Advertisement

Vaccine-Associated Paralytic Poliomyelitis and BCG-osis in an Immigrant Child — Physician’s First Watch

Medical News |
August 25, 2014

Vaccine-Associated Paralytic Poliomyelitis and BCG-osis in an Immigrant Child

By Amy Orciari Herman

Edited by Susan Sadoughi, MD, and André Sofair, MD, MPH

A case of vaccine-associated paralytic poliomyelitis and bacille Calmette-Guerin (BCG)-osis in an infant from India, detailed in MMWR, highlights the importance of taking a complete clinical history in immigrants.

In 2013, the 7-month-old infant presented to a Texas hospital with fever, a lesion at the left deltoid with axillary lymphadenopathy, and inability to bear weight on the left leg, which progressed to paralysis. Immune evaluation showed severe combined immunodeficiency syndrome. The child had a history of oral poliovirus and BCG vaccination in India, and a diagnosis of vaccine-associated paralytic poliomyelitis and BCG-osis was confirmed through microbiologic studies. The infant developed respiratory distress and died after ventilation was withdrawn.

The authors write, "Because vaccine schedules vary based on different public health considerations in different parts of the world, it is imperative that U.S. pediatricians be thorough and careful to know the immunization and family history of foreign-born children."

Reader Comments (1)

Tania Maia, PICU doctor Physician, Pediatric Subspecialty, HCSA

I would like to know why the ventilation was withdraw, because there was possibility of recovery of paralytic poliomyelitis and BCG-osis could be treated. Thank you.

Your Comment

(will not be published)

Filtered HTML

  • Allowed HTML tags: <a> <em> <strong> <cite> <blockquote> <code> <ul> <ol> <li> <dl> <dt> <dd>
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Do you have any conflict of interest to disclose?
CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.
Image CAPTCHA
Enter the characters shown in the image.

Vertical Tabs

* Required

Reader comments are intended to encourage lively discussion of clinical topics with your peers in the medical community. We ask that you keep your remarks to a reasonable length, and we reserve the right to withhold publication of remarks that do not meet this standard.

PRIVACY: We will not use your email address, submitted for a comment, for any other purpose nor sell, rent, or share your e-mail address with any third parties. Please see our Privacy Policy.

Advertisement
Advertisement
Advertisement