Diagnosing inborn error of immunity following the presentation of a complicated acquired infection after MMRV vaccine administration

BMJ Case Rep. 2020 Jan 21;13(1):e233063. doi: 10.1136/bcr-2019-233063.

Abstract

Live vaccine-acquired infection should attest for the occurrence of inborn errors of immunity. Autosomal recessive immunodeficiency 31B, a result of a signal transducer and activator of transcription 1 genetic mutation, results in defected interferon pathways: interferon alpha/beta and interferon gamma. These interferons are crucial for the defence against viral and mycobacterial infections. Recognition is important for preventive and therapeutic approaches. Herein, we report the presentation of a newly diagnosed 13-month-old child with immunodeficiency 31B after presenting with disseminated measles and varicella infection after Measles, Mumps, Rubella and Varicella vaccination.

Keywords: immunology; paediatric intensive care; vaccination/immunisation.

Publication types

  • Case Reports

MeSH terms

  • Chickenpox / drug therapy*
  • Chickenpox / etiology*
  • Chickenpox Vaccine / adverse effects*
  • Drug Therapy, Combination
  • Humans
  • Immunologic Deficiency Syndromes / congenital
  • Immunologic Deficiency Syndromes / diagnosis*
  • Infant
  • Measles / drug therapy*
  • Measles / etiology*
  • Measles-Mumps-Rubella Vaccine / adverse effects*
  • Vaccines, Combined / adverse effects

Substances

  • Chickenpox Vaccine
  • Measles-Mumps-Rubella Vaccine
  • Vaccines, Combined
  • measles, mumps, rubella, varicella vaccine

Supplementary concepts

  • Immune Deficiency Disease