[PAGID] Yellow fever vaccine in SDS?

[Nacho Gonzalez]

Dear Esther, I have talked about your question with my chief (dr Ruiz
Contreras),who belongs to the spanish comitee that establishes the
vaccination schedule.He thinks there is no risk with your patient. My
only concern is if vaccination is necesary.
Luis Gonzalez Granado.Immunodeficiencies Unit.Hospital 12 octubre

2010/8/6, Dr. Esther de Vries <esid at estherdevries.nl>:

> Dear all, I have a 10-year-old SDS patient who is clinically doing very

> well. He has relapsing mild granulocytopenia, stable bone marrow smears, and

> had some bouts of unexplained rheumatoid-like arthritis a few years ago.

> Because he is doing so well, the parents want to visit southern coastal

> Kenia with him, an area where yellow fever does not occur very often. He

> received MMR without problems in the past. The parents prefer to give him a

> yellow fever vaccine if possible, but the doctor at the tropical travel

> service is reluctant, and wants my permission. Since this is a live

> attenuated vaccine, and abnormalities in T-lymphocyte function in SDS

> patients have been published, I cannot give a 100% guarantee of safety. Does

> anyone have experience with this vaccine in SDS? Thanks! Esther de Vries,

> 's-Hertogenbosch, the Netherlands


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