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在接种MMRV疫苗后出现复杂的获得性感染后诊断免疫缺陷病。

Diagnosing inborn error of immunity following the presentation of a complicated acquired infection after MMRV vaccine administration.

作者信息

AlZoebie Lama, Al Sereidi Hend, Al Maeeni Shaima, Ramsi Musaab

机构信息

Pediatrics, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.

Paediatric Critical Care Medicine, Shaikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.

出版信息

BMJ Case Rep. 2020 Jan 21;13(1):e233063. doi: 10.1136/bcr-2019-233063.

Abstract

Live vaccine-acquired infection should attest for the occurrence of inborn errors of immunity. Autosomal recessive immunodeficiency 31B, a result of a signal transducer and activator of transcription 1 genetic mutation, results in defected interferon pathways: interferon alpha/beta and interferon gamma. These interferons are crucial for the defence against viral and mycobacterial infections. Recognition is important for preventive and therapeutic approaches. Herein, we report the presentation of a newly diagnosed 13-month-old child with immunodeficiency 31B after presenting with disseminated measles and varicella infection after Measles, Mumps, Rubella and Varicella vaccination.

摘要

活疫苗获得性感染应可证明存在先天性免疫缺陷。常染色体隐性免疫缺陷31B是转录信号转导子和激活子1基因突变的结果,会导致干扰素通路缺陷:干扰素α/β和干扰素γ。这些干扰素对于抵御病毒和分枝杆菌感染至关重要。识别对于预防和治疗方法很重要。在此,我们报告了一名新诊断的13个月大患有免疫缺陷31B的儿童,该患儿在接种麻疹、腮腺炎、风疹和水痘疫苗后出现了播散性麻疹和水痘感染。

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