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FAILURE OF PNEUMOCOCCAL VACCINATION IN A SPLENECTOMIZED CHILD
Authors:J. LANNG NIELSEN  F. KARUP PEDERSEN  J. ELLEGAARD
Affiliation:University Department of Medicine and Haematology, Aarhus Amtssygehyus, Aarhus, and W. H. O. Collaborating Centre for Reference and Research on Pneumococci, Statens Seruminstitut, Copenhagen, Denmark
Abstract:ABSTRACT. Recurrent Streptococcus pneumoniae septicaemia occurred in a splenectomized child with idiopathic thrombocytopenic purpura. Fatal infection took place 1 year after pneumococcal vaccination and was caused by sero-type 18C which was included in the vaccine. The efficacy of pneumococcal vaccination is discussed in relation to specific pneumococcal polysaccharide antibody titers, and it is concluded that vaccination alone is insufflcient in preventing overwehlming infections in splenectomized Individuals.
Keywords:Failure of pneumococcal vaccination    pneumococcal vaccine    splenectomy    Streptococcus pneumoniae bacteremia    Streptoccus pneumoniae meningitis
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