Prolonged faecal excretion of poliovirus in a nurse with common variable hypogammaglobulinaemia
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Summary: A nurse with common variable hypogammaglobulinaemia was found to excrete a non-vaccine strain type II poliovirus for almost a year following a bout of gastroenteritis. Attempts were made to halt intestinal carriage of the virus in view of the possible risk of spread to immunocompromised patients and the risk of paralytic poliomyelitis to the patient himself. Three doses of killed Salk vaccine failed to stimulate salivary anti-polio antibodies. Excretion of the virus ceased spontaneously just before oral immunoglobulin containing high titres of antibodies to polio virus was used to halt virus excretion.
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In suspected high-risk areas lacking effective AFP surveillance, supplementary surveillance activities, such as sampling community contacts of AFP cases, stool surveys of healthy children, or environmental sampling, have been implemented to increase sensitivity for detecting wild polioviruses.
“In suspected high-risk areas lacking effective AFP surveillance, supplementary surveillance activities, such as sampling community contacts of AFP cases, stool surveys of healthy children, or environmental sampling, have been implemented to increase sensitivity for detecting wild polioviruses (39, 48, 116, 131, 155, 190, 197).”
From VACCINE-DERIVED POLIOVIRUSES AND THE ENDGAME STRATEGY FOR GLOBAL POLIO ERADICATION (2005) · cites this paper as [131]
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Cites
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VACCINE-DERIVED POLIOVIRUSES AND THE ENDGAME STRATEGY FOR GLOBAL POLIO ERADICATION
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- Authors
- Misbah, S. A., Lawrence, P. A., Kurtz, J. B., & Chapel, H. M.
- Affiliations
- John Radcliffe Hospital (GB)
- Corresponding author
- Misbah, S A
- Venue
- Postgraduate Medical Journal
- Publisher
- Oxford University Press (OUP)
- Published
- 1991-03-01
- Volume
- 67
- Issue
- 785
- Pages
- 301-303
- ISSN
- 0032-5473 (ISSN-L)
- 1469-0756
- PMC
- PMC2399020
- OpenAlex
- W2012670542
- Cited by
- 35
- References
- 7
- Citations by year
- 2024: 2 · 2019: 1 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 3 · 2013: 2 · 2012: 3
- FWCI
- 0.37
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Postgraduate Medical Journal (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Viral Infections and Immunology Research
- Life Sciences › Immunology and Microbiology › Immunology › Immunodeficiency and Autoimmune Disorders
- Health Sciences › Medicine › Infectious Diseases › Viral gastroenteritis research and epidemiology
- Keywords
- poliovirus, fecal carriage, fecal excretion, inactivated poliovirus vaccine, oral polio vaccine, oral immunoglobulin, immunocompromised patients, paralytic poliomyelitis, gastroenteritis
- MeSH terms
- Adolescent, Agammaglobulinemia, Carrier State, Feces, Follow-Up Studies, Humans, Male, Poliomyelitis, Time Factors, Poliovirus
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