2004
DOI: 10.1111/j.1600-0609.2004.00218.x
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Yellow fever vaccine: a successful vaccination of an immunocompromised patient

Abstract: We report on the successful vaccination of a patient, 21/2 yr after bone marrow transplantation for myeloma. He was not severely immunosupressed and responded to the yellow fever vaccine (17D, a live attenuated vaccine) without any adverse affects.

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Cited by 43 publications
(18 citation statements)
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“…For yellow fever regions, they should usually be given a yellow fever vaccine waiver letter stating that the contraindication to vaccination is acceptable to most governments; such letters should bear the stamp of an official, approved yellow fever immunization center. While some less immunosuppressed travelers have tolerated the vaccine, including individuals with a distant history of hematological malignancy, 8,9 complications including death have been reported in immunosuppressed individuals after vaccination 10 and recommendations avoid its use in immunocompromised travelers. 11 The findings of Mikati and colleagues 6 that immunocompetent travelers were more likely to visit regions endemic for yellow fever than immunocompromised travelers (22% vs 11%, p = 0.07) may reflect education steering them away from these zones.…”
Section: Of This Issuementioning
confidence: 97%
“…For yellow fever regions, they should usually be given a yellow fever vaccine waiver letter stating that the contraindication to vaccination is acceptable to most governments; such letters should bear the stamp of an official, approved yellow fever immunization center. While some less immunosuppressed travelers have tolerated the vaccine, including individuals with a distant history of hematological malignancy, 8,9 complications including death have been reported in immunosuppressed individuals after vaccination 10 and recommendations avoid its use in immunocompromised travelers. 11 The findings of Mikati and colleagues 6 that immunocompetent travelers were more likely to visit regions endemic for yellow fever than immunocompromised travelers (22% vs 11%, p = 0.07) may reflect education steering them away from these zones.…”
Section: Of This Issuementioning
confidence: 97%
“…Use of the live attenuated vaccine should be avoided in immunocompromised hosts [149]. Although a few immunosuppressed travelers have tolerated the vaccine (e.g., those in the early stages of HIV infection or who have a distant history of hematological malignancy [150][151][152]), complications, including death, have been reported [153].…”
Section: Viral Infectionmentioning
confidence: 99%
“…3 YFV should be deferred in persons with a history of cancer or transplant recipients until immune recovery, 4 as suggested by two reports describing the lack of YFV AE in immune-recovered BM recipients. 5,6 Mechanisms for YFV-associated neurotropic and viscerotropic diseases are still not completely elucidated. It is likely that immune response may not contain 17D replication, which usually follows the first vaccine dose.…”
mentioning
confidence: 99%