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Paralytic poliomyelitis in a child with agammaglobulinemia

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Abstract

This paper gives the clinical, immunological and virological data on a patient with agammaglobulinemia who developed paralytic poliomyelitis. The patient was a 3 year-old boy who had a typical B-cell defect without a T-cell defect. He had profound hypogammaglobulinemia and defective plasma cells and had repeated pyogenic infections which were controlled by gammaglobulin replacement therapy. At 3 years of age, he was admitted to our hospital with suspected meningitis. He had fever, tremor and neck stiffness for 3 days and subsequently developed paralysis in his left arm and right leg. There was lymphocytosis in the cerebrospinal fluid. A non vaccine-like strain of poliovirus type 2 was isolated from the stool.

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References

  1. Barnett, E. V., Nasou, J. P., Utz, J. P., Baron, S.: Antibodies to enteroviruses in hypogammaglobulinemic patients. New Engl. J. Med. 262, 563–565 (1960)

    Google Scholar 

  2. Baron, S.: Mechanism of recovery from viral infection. Advance. Viro. Res. 10, 39–60 (1963)

    Google Scholar 

  3. Baron, S., Nasou, J. P., Friedman, R. M., Owen, G. M., Levy, H. B., Barnett, E. V.: Antibody production by hypogammaglobulinemic patients. J. Immunol. 88, 443–449 (1962)

    Google Scholar 

  4. Chang, T. W., Weinstein, L., Macmahon, E.: Paralytic poliomyelitis in a child with hypogammaglobulinemia: Probable implication of type 1 vaccin strain. Pediatrics 37, 630–636 (1966)

    Google Scholar 

  5. Davis, L. E., Bodian, D., Price, D., Butler, I. J., Vicker, J. M.: Chronic progressive poliomyelitis secondary to vaccination of an immunodeficient child. New Engl. J. Med. 297, 241–245 (1977)

    Google Scholar 

  6. Hill, L. E., et al.: Hypogammaglobulinemia in The United Kingdom. Lancet 1969 I, 163–168

    Google Scholar 

  7. Feigin, R. D., Guggenheim, M. A., Johnson, S. D.: Vaccine-related paralytic poliomyelitis in an immunodeficient child. J. Fed. 79, 642–647 (1971)

    Google Scholar 

  8. Good, R. A., Page, A. R.: Fatal complications of virus hepatitis in two patients with agammaglobulinemia. Am. J. Med. 29, 804–810 (1960)

    Google Scholar 

  9. Fulginiti, V. A., Kempe, C. H., Hathaway, W. E., et al.: Progressive vaccinia in immunological deficient individuals. In: Immunologic deficiency disease in man. No. 1. Birth Defects Original Article Series, D. Bergsma (ed.), Vol. 4, pp. 129–145. New York: The National Foundation 1968

    Google Scholar 

  10. Jacox, R. F., Mongan, E. S., Hanshaw, J. B., Leddy, J. P.: Hypogammaglobulinemia with thymoma and proble pulmonary infection with cytomegalovirus. New Engl. J. Med. 271, 1091–1096 (1964)

    Google Scholar 

  11. Kramer, R. I., Cirone, V. C., Moore, H.: Intestitial pneumonia due to pneumocystis carinii, cytomegalic inclusion disease and hypogammaglobulinemia occurring simultaneously in an infant. Pediatrics 29, 816–827 (1962)

    Google Scholar 

  12. Takatsu, T., Tagaya, I., Hirayama, M.: Poliomyelitis in Japan during the period 1962–1968 after the introduction of mass vaccination with Sabin vaccine. Bull. Wld. Hlth. Org. 49, 129–137 (1973)

    Google Scholar 

  13. Tagaya, I., Nakao, C., Hara, M., Yamadera, S.: Characterization of poliovirus isolated in Japan after the mass vaccination with live oral poliomyelitis vaccine (Sabin). Bull. Wld. Hlth. Org. 48, 547–554 (1962)

    Google Scholar 

  14. Tagaya, I., Hirayama, M.: Poliomyelitis in Japan during the period 1962–1973. Jap. Med. J. 2659, 31–34 (1975)

    Google Scholar 

  15. Verhaart, W. J. C.: Polio-encephalopathy or masked encephalitis in familial hypogammaglobulinemia. J. Neuropathol. Exp. Neurol. 20, 380–385 (1961)

    Google Scholar 

  16. Wilfert, C. M., Buckley, R. H., Mohanakumar, T., Griffith, J. F., Katz, S. L., Whisnant, J. K., Eggleston, P. A., Moore, M., Treadwell, E., Oxman, M. N., Rosen, F. S.: Persistent and fatal central-nervous-system echovirus infections in patients with agammaglobulinemia. New Engl. J. Med. 296, 1485–1489 (1977)

    Google Scholar 

  17. Wright, P. F., Hatch, M. H., Kasselberg, A. G., Lowry, S. P., Wadlington, W. B., Karzon, D. T.: Vaccine-associated poliomyelitis in a child with sex-linked agammaglobulinemica. J. Ped. 91, 408–412 (1977)

    Google Scholar 

  18. Wyatt, H. V.: Poliomyelitis in hypogammaglobulinemics. J. Infect. Dis. 128, 802–806 (1973)

    Google Scholar 

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Abo, W., Chiba, S., Yamanaka, T. et al. Paralytic poliomyelitis in a child with agammaglobulinemia. Eur J Pediatr 132, 11–16 (1979). https://doi.org/10.1007/BF00443199

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  • DOI: https://doi.org/10.1007/BF00443199

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