Herpes Zoster Caused by Vaccine-Strain Varicella Zoster Virus in an Immunocompetent Recipient of Zoster Vaccine
Author(s) -
Hung Fu Tseng,
D. Scott Schmid,
Rafael Harpaz,
Phillip LaRussa,
Nancy J. Jensen,
Pierre Rivailler,
Kristen J. Radford,
Jason P. Folster,
Steven J. Jacobsen
Publication year - 2014
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/ciu058
Subject(s) - virology , medicine , varicella zoster virus , chickenpox vaccine , varicella vaccine , virus , strain (injury) , herpesviridae , attenuated vaccine , immunization , viral disease , immunology , virulence , biology , antibody , gene , genetics
We report the first laboratory-documented case of herpes zoster caused by the attenuated varicella zoster virus (VZV) contained in Zostavax in a 68-year-old immunocompetent adult with strong evidence of prior wild-type VZV infection. The complete genome sequence of the isolate revealed that the strain carried 15 of 42 (36%) recognized varicella vaccine-associated single-nucleotide polymorphisms, including all 5 of the fixed vaccine markers present in nearly all of the strains in the vaccine. The case of herpes zoster was relatively mild and resolved without complications.
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