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Prolonged varicella viraemia and streptococcal toxic shock syndrome following varicella vaccination of a health care worker
Author(s) -
Italiano Claire M,
Toi Cheryl S,
Chan Simon P,
Dwyer Dominic E
Publication year - 2009
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.2009.tb02498.x
Subject(s) - medicine , chickenpox , vaccination , toxic shock syndrome , virology , immunology , virus , biology , bacteria , genetics , staphylococcus aureus
A 49-year-old health care worker received varicella vaccine in accordance with current Australian guidelines. She developed streptococcal toxic shock syndrome, complicated by acute atraumatic dislocation of the right wrist secondary to poststreptococcal reactive arthritis - to our knowledge, the first report of spontaneous wrist dislocation as a complication in this condition. Vaccination was accompanied by prolonged viraemia with the varicella vaccine strain - also, we believe, the first report of this in an immunocompetent patient.