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Vaccine-associated "wild-type" measles
Kelle Liermann Berggren1, Michael Tharp, Kenneth M Boyer
1Department of Dermatology, Rush Presbyterian St. Lukes Medical Center, Chicago, Illinois 60612, USA. kelleliermann@yahoo.com
Abstract:
Measles is the most contagious of the childhood exanthems and is the leading cause of vaccine-preventable deaths in children, mostly in developing countries. The prodromal stage, consisting of high fever and the triad of cough, coryza, and conjunctivitis, is followed by a caudal progressing rash over a period of 2 to 3 days. With a worldwide vaccination program in place, mortality and morbidity have decreased substantially. Receipt of the live attenuated vaccine generally causes no or only mild side effects such as a low-grade fever and a subtle rash. We report a 1-year-old boy who, 10 days after vaccination, developed vaccine measles which was clinically indistinguishable from the natural disease. Vaccine virus was detected by polymerase chain reaction in the patient's nasopharyngeal secretions.
Insights
Measles is highly contagious and a leading cause of vaccine-preventable childhood deaths. A rare case of vaccine-induced measles, indistinguishable from natural infection, highlights vaccine safety considerations.
Area of Science:
- Pediatrics
- Infectious Diseases
- Vaccinology
Background:
- Measles is a highly contagious childhood illness and a significant cause of vaccine-preventable deaths globally.
- Widespread vaccination has drastically reduced measles morbidity and mortality.
- The live attenuated measles vaccine typically causes mild side effects.
Observation:
- A 1-year-old boy presented with symptoms 10 days post-vaccination.
- The patient exhibited clinical signs of measles that were indistinguishable from natural infection.
Findings:
- The case presented as vaccine-induced measles.
- Polymerase chain reaction confirmed the presence of vaccine virus in nasopharyngeal secretions.
Implications:
- This case underscores the importance of monitoring for rare vaccine-induced reactions.
- Further research may be needed to understand the pathogenesis of vaccine-induced measles.
- Clinicians should be aware of the possibility of vaccine-like measles following vaccination.
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