Rabies post-exposure prophylaxis for a child with severe allergic reaction to rabies vaccine.

作者: Yuan Fang , Man-Qing Liu , Li Chen , Zheng-Gang Zhu , Ze-Rong Zhu

DOI: 10.1080/21645515.2016.1143158

关键词:

摘要: Most adverse events (AEs) during the immunization of rabies vaccine were slight, there was little information about allergic reaction induced by vaccines and had to stop or change program. Here, we reported a case that 4-year-old boy category II exposure showed severe after being immunized with lyophilized purified vero cell (PVRV). After anti-allergy therapy hormone, allergy testing indicated medium egg milk, implied most likely associated animal-sourced gelatin in PVRV. Therefore, new program liquid PVRV without stabilizers under Zegrab regimen (2-1-1) enrolled at day 7 post-exposure. Although lower than levels normal <5 -year population 14 45, neutralizing antibody (RVNA) titers this adequate protective (≥ 0.5 IU/ml), even 365 d post-immunization. This study not only highlighted importance several types co-existing market, but also necessary for doctors fully understand allergies history patients prior immunize vaccine.

参考文章(10)
B. Abela-Ridder, Rabies: 100 per cent fatal, 100 per cent preventable Veterinary Record. ,vol. 177, pp. 148- 149 ,(2015) , 10.1136/VR.H4196
Masahiro Sakaguchi, Tetsuo Nakayama, Hiroyuki Fujita, Masako Toda, Sakae Inouye, Minimum estimated incidence in Japan of anaphylaxis to live virus vaccines including gelatin Vaccine. ,vol. 19, pp. 431- 436 ,(2000) , 10.1016/S0264-410X(00)00206-1
Mysore Kalappa Sudarshan, Doddabele Hanumanthaiah Ashwath Narayana, Shampur Narayan Madhusudana, Ramesh Holla, Belludi Yajaman Ashwin, Bilagumba Gangaboraiah, Haradanahalli S. Ravish, Evaluation of a one week intradermal regimen for rabies post-exposure prophylaxis: results of a randomized, open label, active-controlled trial in healthy adult volunteers in India. Human Vaccines & Immunotherapeutics. ,vol. 8, pp. 1077- 1081 ,(2012) , 10.4161/HV.20471
Pengcheng Yu, Ying Huang, Yibin Zhang, Qing Tang, Guodong Liang, Production and evaluation of a chromatographically purified Vero cell rabies vaccine (PVRV) in China using microcarrier technology Human Vaccines & Immunotherapeutics. ,vol. 8, pp. 1230- 1235 ,(2012) , 10.4161/HV.20985
Yuan Fang, Li Chen, Man-Qing Liu, Zheng-Gang Zhu, Ze-Rong Zhu, Quan Hu, Comparison of Safety and Immunogenicity of PVRV and PCECV Immunized in Patients with WHO Category II Animal Exposure: A Study Based on Different Age Groups PLoS Neglected Tropical Diseases. ,vol. 8, pp. e3412- ,(2014) , 10.1371/JOURNAL.PNTD.0003412
Quan Hu, Man-Qing Liu, Zheng-Gang Zhu, Ze-Rong Zhu, Sha Lu, Comparison of safety and immunogenicity of purified chick embryo cell vaccine using Zagreb and Essen regimens in patients with category II exposure in China. Human Vaccines & Immunotherapeutics. ,vol. 10, pp. 1645- 1649 ,(2014) , 10.4161/HV.28420
Jun Peng, Li Chen, Zheng-Gang Zhu, Ze-Rong Zhu, Quan Hu, Yuan Fang, Effect of Corticosteroids on RVNA production of a patient with acute disseminated encephalomyelitis following rabies vaccination as well as administration of HRIG Human Vaccines & Immunotherapeutics. ,vol. 10, pp. 3622- 3626 ,(2014) , 10.4161/21645515.2014.979621
Olivier Sabella, Side effects and risks of rabies vaccine. Canadian Family Physician. ,vol. 55, pp. 470- 470 ,(2009)
Charles E. Rupprecht, Daniel Fishbein, Boonlert Lumlertdacha, Harry F. Hull, Cathleen A. Hanlon, I. Meltzer, Benjamin Sun, Susan E. M anning, Suzanne R. Jenkins, Recommendations of the Advi sory Committee on Immunization Practices ,(2008)
Wu T, Lu Y, Ge X, A study on efficacy of rabies vaccine prepared by primary hamster kidney cells in Guangxi Chinese Journal of Preventive Medicine. ,vol. 32, pp. 211- ,(1998)