title: Yellow fever vaccine-associated neurotropic disease (YEL-AND) - A case report.
abstract: Yellow fever (YF) is a mosquito-borne viral hemorrhagic fever, which is a serious and potentially fatal disease with no specific antiviral treatment that can be effectively prevented by an attenuated vaccine (YEL). Despite the long history of safe and efficacious YF vaccination, sporadic case reports of serious adverse events (SAEs) have been reported, including yellow fever vaccine-associated neurotropic disease (YEL-AND). YEL-AND usually appears within one month of YF vaccination, manifesting as meningoencephalitis, Guillain-Barré syndrome (GBS) or acute disseminated encephalomyelitis (ADEM). We report a case of YEL-AND with meningitis presentation in a 39-year-old Caucasian man without evidence of significant risk factors, which was confirmed by the presence of the YF virus and specific immunoglobulin G (IgG) antibodies in the cerebrospinal fluid (CSF). In conclusion, we should stress the importance of balancing the risk of SAEs associated with the vaccine and the benefits of YF vaccination for each patient individually.
authors.affiliation: Department of Neurology, Poznan University of Medical Sciences, Poznan, Poland. Electronic address: jolaflorczak@op.pl.
authors.forename: Jolanta
authors.initials: J
authors.lastname: Florczak-Wyspiańska
authors.affiliation: Department of Neurology, Poznan University of Medical Sciences, Poznan, Poland.
authors.forename: Ewa
authors.initials: E
authors.lastname: Nawotczyńska
authors.affiliation: Department of Neurology, Poznan University of Medical Sciences, Poznan, Poland.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Kozubski
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D008587:Meningitis, Viral / Q000209:etiology*; D022341:Yellow Fever Vaccine / Q000009:adverse effects*
chemical_list: D022341:Yellow Fever Vaccine
keywords: Adverse event; Neurological disease; Yellow fever vaccine