Section 56
Chapter 55,226

Prolonged varicella viraemia and streptococcal toxic shock syndrome following varicella vaccination of a health care worker

Italiano, C.M.; Toi, C.S.; Chan, S.P.; Dwyer, D.E.

Medical Journal of Australia 190(8): 451-453


ISSN/ISBN: 0025-729X
PMID: 19374621
DOI: 10.5694/j.1326-5377.2009.tb02498.x
Accession: 055225402

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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.

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