Clinical case of vaccine-associated acute paralytic poliomyelitis in a 3-month-old child
Vaccine-associated poliovirus, as well as vaccine-derived viruses, continue to cause cases of paralytic poliomyelitis in the Russian Federation and other countries. The article presents a clinical case of vaccine-associated paralytic poliomyelitis (VAPP) that developed in a 3-month-old child. The dynamics of clinical picture development are described, the data of epidemiological anamnesis, results of laboratory and instrumental research methods, as well as remote consequences are presented. In order to prevent VAPP in contact children under 3 months of age, it is necessary to strictly adhere to sanitary and epidemiological measures; and for children over 3 months - vaccination according to the national vaccination calendar, including the introduction of the first 4 inactivated polio vaccines (IPV).Valishin D.A., Mukhametzyanov A.M., Akbarova A.M., Prosvirkina T.D., Larshutin S.A.
Keywords
vaccine-associated poliomyelitis
clinical picture
oral polio vaccine
References
1. Дроздов С.Г., Иванова О.Е. Полиомиелит. Вопросы вирусологии 2012; 57(1): 76–90.
Drozdov S.G., Ivanova O.E. [Poliomyelitis]. Problems of Virology 2012; 57(1): 76–90. (In Russ.).
2. Чумаков К.М., Ишмухаметов А.А. Вакцины против полиомиелита: настоящее и будущее. Эпидемиология и Вакцинопрофилактика 2018; 17(3): 4–18. DOI: 10.31631/2073-3046-2018-17-3-4-18
Chumakov K.М., Ishmukhametov AA. [Polio vaccines: present and future]. Epidemiology and Vaccinal Prevention 2018; 17(3): 4–18. (In Russ.). DOI: 10.31631/2073-3046-2018-17-3-4-18
3. Sabin A.B. Current status of research on vaccination against poliomyelitis. J. Mich. State. Med. Soc. 1954; 53 (9): 985.
4. Sabin AB. Characteristics and genetic potentialities of experimentally produced and naturally occurring variants of poliomyelitis virus. Ann. NY Acad. Sci. 1955; 61(4): 924–938.
5. Лещинская Е.В., Иванова О.Е., Мартыненко И.Н., Рогинская Е.С., Прыткова М.И., Леонтьева И.Я. Полиомиелит в России в 1970–1995 гг. Эпидемиология и инфекционные болезни1998; (3): 11–15.
Leshchinskaya E.V., Ivanova O.E., Martynenko I.N., Roginskaya E.S., Prytkova M.I., Leontieva I.Ya. [Polio in Russia in 1970-1995]. Epidemiology and Infectious Diseases 1998; (3): 11–15. (In Russ.).
6. Романенкова Н.И., Розаева Н.Р., Бичурина М.А., Канаева О.И., Чхинджерия И.Г. Вакциноассоциированный паралитический полиомиелит и острые вялые параличи на ряде территорий России на двадцатилетний период. Журнал инфектологии 2019; 11(3):102–109. DOI: 10.22625/2072-6732-2019-11-3-102-109
Romanenkova N.I., Rozaeva N.R., Bichurina M.A., Kanaeva O.I., Chkhindzheria I.G. [Vaccine-associated paralytic polio and acute flaccid paralysis in a number of territories of Russia for a twenty-year period]. Journal of Infectology 2019; 11(3): 102–109. (In Russ.). DOI: 10.22625/2072-6732-2019-11-3-102-109
7. Карпова Е.В., Саркисян К.А., Мовсесянц А.А., Меркулов В.А. Вакцинопрофилактика полиомиелита на современном этапе. БИОпрепараты. Профилактика, диагностика, лечение. 2018; 18(4): 236–242. DOI: 10.30895/2221-996X-2018-18-4-236-242
Karpova E.V., Sarkisyan K.A., Movsesyants A.A., Merkulov V.A. [Polio vaccination at the present stage]. Biologics. Prevention, Diagnosis, Treatment 2018; 18(4): 236–242. (In Russ.). DOI: 10.30895/2221-996X-2018-18-4-236-242
8. Михайлова Ю.М., Черепанова Е.А. Вакциноассоциированный паралитический полиомиелит в Российской Федерации. Сб. материалов IV Всерос. науч.-практ. конф. с международным участием «Современная иммунопрофилактика: вызовы, возможности, перспективы». M., 2023: 84–85.
Mikhailova Yu.M., Cherepanova E.A. [Vaccine-associated paralytic polio in the Russian Federation]. Collection of materials of the IV All-Russian scientific and practical conference with international participation «Modern immunoprophylaxis: challenges, opportunities, prospects». Moscow, 2023: 84–85. (In Russ.).
9. Шакарян А.К., Зверева Н.Н., Салимзянов Д.Ф., Кириченко Т.В., Шахгильдян С.В., Терлоев И.М. Паралитическая форма полиовирусной инфекции у реципиента оральной полиовакцины. Педиатрия 2019; 98(1): 139–144. DOI: 10.24110/0031-403X-2019-98-1-139-144
Shakaryan A.K., Zvereva N.N., Salimzianov D.F., Kirichenko T.V., Shakhgildyan S.V., Terloev I.M. [Paralytic form of poliovirus infection in oral polio vaccine recipient]. Pediatria 2019; 98(1): 139–144. (In Russ.). DOI: 10.24110/0031-403X-2019-98-1-139-144
10. Команцев В.Н., Скрипченко Н.В., Савина М.В. Клиническая электронейромиография при нейроинфекциях у детей. Педиатр 2011; 2(2): 21–24.
Komantsev V.N., Skripchenko N.V., Savina M.V. [Clinical electroneuromyography in neuroinfections in children]. Pediatrician 2011; 2(2): 21–24. (In Russ.).
11. Шакарян А.К., Таточенко В.К., Иванова О.Е., Mорозова Н.С., Чернявская О.П., Еремеева Т.П. Клиническая характеристика случаев вакциноассоциированного паралитического полиомиелита в Российской Федерации в 2006–2016 гг. Инфекционные болезни 2019; 17(1): 115–123. DOI: 10.20953/1729-9225-2019-1-115-123
Shakaryan A.K., Tatochenko V.K., Ivanova O.E., Morozova N.S., Chernyavskaya O.P., Yeremeeva T.P. [Clinical characteristics of cases of vaccine-associated paralytic polio in the Russian Federation in 2006-2016]. Infectious Diseases 2019; 17(1): 115–123. (In Russ.). DOI: 10.20953/1729-9225-2019-1-115-123
About the Authors
Professor Damir A. Valishin, MD, Head, Department of Infectious Diseases, Bashkir State Medical University, Ministry of Health of the Russia, Ufa, Russia; damirval@yandex.ru; https://orcid.org/0000-0002-1811-9320Аzat M. Muhametzуanov, MD, Head, Department of Epidemiology, Bashkir State Medical University, Ministry of Health of the Russia; Chief Physician, Republican Clinical Infectious Diseases Hospital; Chief External Expert in Epidemiology of the Republic of Bashkortostan, Ufa, Russia; mazat55@mail.ru; https://orcid.org/0000-0002-0448-1273
Aliya M. Akbarova, Cand, Med. Sci., Teaching Assistant, Department of Infectious Diseases, Bashkir State Medical University, Ministry of Health of the Russia, Ufa, Russia; alityi@mail.ru; https://orcid.org/0000-0002-5123-5665
Tatyana D. Prosvirkina, Cand. Med. Sci., Associate Professor, Department of Infectious Diseases, Bashkir State Medical University, Ministry of Health of the Russia; Ufa, Russia; prosvirkinatd@mail.ru; https://orcid.org/0000-0001-7903-6804
Sergey A. Larshutin, Cand. Med. Sci, Associate Professor, Department of Infectious Diseases, Bashkir State Medical University, Ministry of Health of the Russia, Ufa, Russia; larshutin@mail.ru; https://orcid.org/0000-0003-4258-1643
Similar Articles
