2009
DOI: 10.1002/jmv.21545
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Three cases of paralytic poliomyelitis associated with type 3 vaccine poliovirus strains in Bulgaria

Abstract: Oral poliovirus vaccine (OPV) can cause, in extremely rare cases vaccine-associated paralytic poliomyelitis in recipients, or contacts of vaccinees. Three cases of vaccine-associated paralytic poliomyelitis (two contacts and one recipient) occurred in the Bourgas region of Bulgaria in the spring of 2006. The first two cases, notified as acute flaccid paralysis, were 55 days old unvaccinated twin brothers, having been in contact with vaccinees. The third case concerned a 4-month-old infant who had received the … Show more

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Cited by 6 publications
(3 citation statements)
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“…Therefore, for all diseases except polio, reports of single, unlinked cases of disease were excluded. Polio has been absent from the European region since 2002 (22, 23), therefore a single case would be considered an outbreak and included. Data not disaggregated into distinct outbreaks were included in the narrative synthesis but excluded from spatial mapping.…”
Section: Methodsmentioning
confidence: 99%
“…Therefore, for all diseases except polio, reports of single, unlinked cases of disease were excluded. Polio has been absent from the European region since 2002 (22, 23), therefore a single case would be considered an outbreak and included. Data not disaggregated into distinct outbreaks were included in the narrative synthesis but excluded from spatial mapping.…”
Section: Methodsmentioning
confidence: 99%
“…Guillain-Barré syndrome is a rare disorder in which a person’s own immune system damages the nerve cells, causing muscle weakness and sometimes paralysis. This group also includes 5 other vaccines associated with nervous system disorders, including pertussis vaccine [26], diphtheria and tetanus toxoids and pertussis (DTP) vaccine [27], hepatitis B vaccine [28], chickenpox vaccine [29], and poliovirus vaccine [30,31]. As shown by a VO hierarchical structure layout (Figure 3), these 7 vaccines belong to different bacterial and viral vaccine groups.…”
Section: Resultsmentioning
confidence: 99%
“…Therefore, for all diseases except polio, reports of single, unlinked cases of disease were excluded. Polio has been absent from the European region since 2002 (24,25), therefore a single case would be considered an outbreak and included. Data not disaggregated into distinct outbreaks were included in the narrative synthesis but excluded from spatial mapping.…”
Section: Search Strategy and Selection Criteriamentioning
confidence: 99%