[CIS PIDD] Vaccine-associated paralytic poliomyelitis

[Rohan Ameratunga (ADHB)]

Hi Juan Carlos,

NZ changed to IPV some years ago after a tragic case of VAPP in a mother of a child given the OPV.

Regards

Rohan Ameratunga
Adult and paediatric immunologist
Auckland
New Zealand

________________________________
From: pagid-bounces at list.clinimmsoc.org [mailto:pagid-bounces at list.clinimmsoc.org] On Behalf Of Dewton Vasconcelos
Sent: Thursday, 19 July 2012 06:04
To: pagid at list.clinimmsoc.org
Cc: kinmunologia at yahoo.com; ecachay_ro at yahoo.es
Subject: Re: [CIS PIDD] Vaccine-associated paralytic poliomyelitis

Dear Juan Carlos, good afternoon

Here in Brazil we give inactivated polio vaccines (Salk) for any hypogammaglobulinemic patient (agammas or even "CVIDs") after diagnosis.

A few years ago we looked for persistence of vaccine poliovirus in our hypogammaglobulinemic patients, a few of these patients presented persistent fecal production of virus, but fortunately we didn't find any patient with encephalitis or paralitic disease. The main author of this work is Jorge Andrade Pinto, from UFMG.

All the best,

Dewton


Juan Carlos Aldave Becerra wrote:
Dear Doctors,

In Peru we continue giving oral polio vaccine. We have a few patients with vaccine-associated paralytic poliomyelitis (some of them with agammaglobulinemia). Do you have any information of what should be the posterior vaccine schedule in these patients?

Thank you very much,

Juan Carlos Aldave, MD
Allergy and Clinical Immunology
Rebagliati Martins National Hospital - Lima, Peru



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