疫苗激发试验后重新分类的疫苗诱导过敏反应病例报告。
Case report of vaccine-induced anaphylactic reaction reclassified after vaccine challenge.
作者信息
Aman Maria, Abou Turk Chirine A, Carlson John C
机构信息
Ochsner Health System, New Orleans, La.
出版信息
J Allergy Clin Immunol Glob. 2025 Apr 22;4(3):100484. doi: 10.1016/j.jacig.2025.100484. eCollection 2025 Aug.
Abstract
At age 4 months, an infant had skin changes and cessation of breathing responsive to epinephrine after vaccine administration. The atypical breathing recurred during vaccine challenge but was consistent with breath-holding spell rather than anaphylaxis. Vaccine challenges can be performed in appropriate settings even when cases are consistent with anaphylaxis.
摘要
4个月大的婴儿在接种疫苗后出现皮肤变化，且呼吸停止，肾上腺素治疗有效。在疫苗激发试验期间，非典型呼吸再次出现，但符合屏气发作而非过敏反应。即使病例符合过敏反应，也可在适当环境下进行疫苗激发试验。
相似文献
1
Case report of vaccine-induced anaphylactic reaction reclassified after vaccine challenge.
J Allergy Clin Immunol Glob. 2025 Apr 22;4(3):100484. doi: 10.1016/j.jacig.2025.100484. eCollection 2025 Aug.
2
Anaphylaxis is a rare reaction in COVID-19 vaccination.
J Biol Regul Homeost Agents. 2021 May-Jun;35(3):839-842. doi: 10.23812/BELLOMO_EDIT_3_21.
3
Small percentage of anaphylactic reactions treated with epinephrine during food challenges in Dutch children.
Ann Allergy Asthma Immunol. 2018 Mar;120(3):300-303. doi: 10.1016/j.anai.2017.08.018. Epub 2017 Oct 7.
4
A Case Report of Prolonged Anaphylaxis after COVID-19 Vaccine.
Clin Pract Cases Emerg Med. 2022 Feb;6(1):21-24. doi: 10.5811/cpcem.2021.9.53690.
5
A case report of anaphylaxis to Typhoid Vaccine Live Oral Ty21a (Vivotif).
J Travel Med. 2017 Sep 1;24(5). doi: 10.1093/jtm/tax022.
6
Resolution of Patient's Anaphylaxis to the Moderna COVID-19 Vaccine by Desensitization.
HCA Healthc J Med. 2025 Apr 1;6(2):167-170. doi: 10.36518/2689-0216.1792. eCollection 2025.
7
Pediatric anaphylactic adverse events following immunization in Victoria, Australia from 2007 to 2013.
Vaccine. 2015 Mar 24;33(13):1602-7. doi: 10.1016/j.vaccine.2015.02.008. Epub 2015 Feb 16.
8
Biphasic anaphylaxis after exposure to the first dose of Pfizer-BioNTech COVID-19 mRNA vaccine.
J Med Virol. 2021 Oct;93(10):6027-6029. doi: 10.1002/jmv.27109. Epub 2021 Jun 6.
9
Anaphylactic and nonanaphylactic reactions to SARS-CoV-2 vaccines: a systematic review and meta-analysis.
Allergy Asthma Clin Immunol. 2021 Oct 16;17(1):109. doi: 10.1186/s13223-021-00613-7.
10
Anaphylaxis: Recognition and Management.
Am Fam Physician. 2020 Sep 15;102(6):355-362.
本文引用的文献
1
A Model for Consolidating High-Risk Allergy Procedures in Clinic.
Ochsner J. 2024 Winter;24(4):273-278. doi: 10.31486/toj.24.0085.
2
Anaphylaxis: Revision of the Brighton collaboration case definition.
Vaccine. 2023 Apr 6;41(15):2605-2614. doi: 10.1016/j.vaccine.2022.11.027. Epub 2022 Nov 24.
3
Immunization stress-related response - Redefining immunization anxiety-related reaction as an adverse event following immunization.
Vaccine. 2020 Mar 23;38(14):3015-3020. doi: 10.1016/j.vaccine.2020.02.046. Epub 2020 Mar 2.
4
Vaccine Allergy? Skin Testing and Challenge at a Tertiary Pediatric Hospital in Melbourne, Australia.
J Allergy Clin Immunol Pract. 2019 May-Jun;7(5):1541-1549. doi: 10.1016/j.jaip.2019.01.025. Epub 2019 Jan 23.
5
Vaccine-associated hypersensitivity.
J Allergy Clin Immunol. 2018 Feb;141(2):463-472. doi: 10.1016/j.jaci.2017.12.971.
6
Anaphylaxis to diphtheria, tetanus, and pertussis vaccines among children with cow's milk allergy.
J Allergy Clin Immunol. 2011 Jul;128(1):215-8. doi: 10.1016/j.jaci.2011.04.046. Epub 2011 May 31.
7
Vaccination-related adverse events.
Pediatr Emerg Care. 2006 Jul;22(7):514-9; quiz 520-2. doi: 10.1097/01.pec.0000227874.44878.40.
8
Hypotonic-hyporesponsive episodes reported to the Vaccine Adverse Event Reporting System (VAERS), 1996-1998.
Pediatrics. 2000 Oct;106(4):E52. doi: 10.1542/peds.106.4.e52.
9
Breath-holding spells in childhood.
Am J Dis Child. 1992 Jan;146(1):125-31. doi: 10.1001/archpedi.1992.02160130127035.
Zotero 插件