Post-rotavirus vaccine intussusception in identical twins: A case report
| Autor: | Marinella Astuto, Valentina Taranto, M. G. Scuderi, F. La Rosa, Concetta Maria Spinello, V. La Rosa, G. La Camera |
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| Rok vydání: | 2016 |
| Předmět: |
Rotavirus
Male 0301 basic medicine medicine.medical_specialty Pediatrics Letter 030106 microbiology Immunology medicine.disease_cause 03 medical and health sciences 0302 clinical medicine Intussusception (medical disorder) medicine Humans Immunology and Allergy 030212 general & internal medicine Immunization schedule intussusception Pharmacology business.industry Incidence (epidemiology) Rotavirus Vaccines Infant rotavirus vaccination Invagination Twins Monozygotic Intussusception Vaccine medicine.disease Rotavirus vaccine Surgery Bowel obstruction Vaccination Vomiting medicine.symptom business pediatric population |
| Zdroj: | Human Vaccines & Immunotherapeutics |
| ISSN: | 2164-554X 2164-5515 |
| Popis: | The intussusception is one of the most frequent causes of occlusive syndrome in infants and in children. (1) The mesenteric lymphadenopathy, wich is very rare post rotavirus vaccination, can cause intussusception, (2-5) especially in genetically predisposed individuals. (6) There is an association between intussusception and some classes of genotype. (7-9) Two infants aged 3 months, vaccinated against rotavirus. After about a week, one of the 2 identical infants presented inconsolable crying, vomiting, loose stools mixed with blood, and was diagnosed with bowel obstruction with intussusception. He was operated in urgency. After a few hours, his brother presented vomiting, and was admitted to our Hospital for suspected intussusception. The controls carried out have confirmed the presence of intussusception that was treated early, before the onset of severe symptoms. The incidence of post rotavirus vaccine intussusception is very low. The determining factor hypothetically might be linked to the presence of a genotype that exposes infants to a greater risk of developing mesenteric lymphadenitis and intussusception. In our case, the diagnosis of intussusception occurred in a twin, which allowed us to recognize early symptoms which accused the brother and schedule the surgery with less urgency. Our experience may want to sensitize families and pediatricians to report cases of intussusception given a theoretical familiar association. The study of the genotype could be decisive for or not to exclude the presence of a risk of invagination, thus avoiding vaccination. |
| Databáze: | OpenAIRE |
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