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白血病患者免疫后发生水痘。

Varicella in a Previously Immune Patient With Leukemia.

机构信息

Steven and Alexandra Cohen Children's Medical Center of New York, New Hyde Park.

Hofstra Northwell School of Medicine, Hempstead, New York.

出版信息

J Pediatric Infect Dis Soc. 2017 Jun 1;6(2):e4-e6. doi: 10.1093/jpids/piw078.

Abstract

Infection with varicella-zoster virus (VZV) in oncology patients can result in severe disease with an increased risk of morbidity and mortality [1, 2]. Among patients on cancer chemotherapy, only nonimmune persons are considered to be susceptible to varicella [1]. We present a case of varicella in a child with leukemia that occurred despite immunity as defined by 2 doses of varicella vaccine and documentation of positive VZV immunoglobulin G titer before initiation of chemotherapy.

摘要

水痘带状疱疹病毒(VZV)感染可导致肿瘤患者发生严重疾病,增加发病率和死亡率[1,2]。在接受癌症化疗的患者中,只有非免疫者才被认为易感染水痘[1]。我们报告了一例白血病患儿发生水痘的病例,尽管该患儿已接种 2 剂水痘疫苗,并在开始化疗前检测到 VZV 免疫球蛋白 G 滴度阳性,具有免疫力,但仍发生了水痘。

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