MMWR Morb Mortal Wkly Rep. 2007 May 18;56(19):478-81.
On March 7, 2007, the Chicago Department of Public Health and the University of Chicago Pediatric Infectious Disease Service and Infection Control Program notified CDC of a child with presumed eczema vaccinatum (EV), a life-threatening complication of vaccinia virus infection. This is the first reported EV case in the United States since 1988. This report summarizes the epidemiologic and environmental investigations conducted by local, state, and federal public health authorities in Illinois and Indiana to determine the source of exposure and to identify and monitor other persons at risk for vaccinia virus infection. This case highlights the need for clinicians to maintain a high index of suspicion when evaluating recently vaccinated patients and their family members with vesiculopustular rash.
2007年3月7日，芝加哥市公共卫生部、芝加哥大学儿科传染病服务与感染控制项目向美国疾病控制与预防中心通报了一名疑似患有牛痘性湿疹（EV）的儿童，牛痘性湿疹是牛痘病毒感染的一种危及生命的并发症。这是自1988年以来美国报告的首例牛痘性湿疹病例。本报告总结了伊利诺伊州和印第安纳州的地方、州和联邦公共卫生当局进行的流行病学和环境调查，以确定接触源，并识别和监测其他有感染牛痘病毒风险的人员。该病例凸显了临床医生在评估近期接种疫苗且出现水疱脓疱疹的患者及其家庭成员时保持高度怀疑的必要性。
