title: [A French soldier returns from the Central Africa Republic with hepatitis A: Vaccination failure is possible!].
abstract: In stays in tropical countries, the French military, and travelers in general, are exposed to diseases transmitted by the fecal-oral route, some of which are vaccine-preventable. Here we report a 42-yer-old soldier with hepatitis A, which first appeared on his return from a military operation in the Central African Republic. Despite its excellent immunogenicity and a duration of seroprotection extending beyond 20 years in the vast majority of cases, the hepatitis A vaccine can fail. This reminds us of the importance of combining vaccine and non-vaccine prevention in tropical countries, especially in precarious living conditions.
authors.affiliation: Service de maladies infectieuses et tropicales, hôpital d'instruction des armées Bégin, 69 avenue de Paris, 94160 Saint-Mandé, France.
authors.forename: C
authors.initials: C
authors.lastname: Ficko
authors.affiliation: Service de maladies infectieuses et tropicales, hôpital d'instruction des armées Bégin, 69 avenue de Paris, 94160 Saint-Mandé, France.
authors.forename: P L
authors.initials: PL
authors.lastname: Conan
authors.affiliation: Biologie médicale, hôpital d'instruction des armées Bégin, 69 avenue de Paris, 94160 Saint-Mandé, France.
authors.forename: C
authors.initials: C
authors.lastname: Bigaillon
authors.affiliation: Centre d'épidémiologie et de santé publique des armées, Marseille, France.
authors.forename: S
authors.initials: S
authors.lastname: Duron
authors.affiliation: Service de maladies infectieuses et tropicales, hôpital d'instruction des armées Bégin, 69 avenue de Paris, 94160 Saint-Mandé, France.
authors.forename: C
authors.initials: C
authors.lastname: Rapp
mesh_terms: D000328:Adult; D002488:Central African Republic; D005602:France; D006506:Hepatitis A / Q000175:diagnosis / Q000517:prevention & control; D022362:Hepatitis A Vaccines; D006801:Humans; D008297:Male; D008889:Military Personnel; D017211:Treatment Failure; D014611:Vaccination
chemical_list: D022362:Hepatitis A Vaccines
keywords: Central African Republic; hepatitis A; tropics; vaccine