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.
Vaccine-Associated Paralytic Poliomyelitis and BCG-osis in an Immigrant Child — Physician’s First Watch
Vaccine-Associated Paralytic Poliomyelitis and BCG-osis in an Immigrant Child
By Amy Orciari Herman
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 The infant developed respiratory distress and died after ventilation was withdrawn.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."