Prolonged varicella viraemia and streptococcal toxic shock syndrome following varicella vaccination of a health care worker.
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.
Westmead Hospital, Sydney, NSW. claire_italiano@hotmail.com
Claire M
CM
Italiano
Cheryl S
CS
Toi
Simon P
SP
Chan
Dominic E
DE
Dwyer
D016918:Arthritis, Reactive / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D019433:Chickenpox Vaccine / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010564:Personnel, Hospital; D012772:Shock, Septic / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013290:Streptococcal Infections / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013297:Streptococcus pyogenes; D014766:Viremia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy
D019433:Chickenpox Vaccine