Reversion to the Neurovilurent Genome Sequence of Polio Vaccine VirusIsolated from Community-Acquired Meningitis

Zenichiro Kato, Y. Shimada, H. Ishiko, N. Kondo
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Abstract

Neurologic complication associated with the use of live attenuated oral poliomyelitis vaccine is uncommon, but vaccine-associated paralytic poliomyelitis in recipients or contacts has sometimes been reported. We report here a com- munity-acquired aseptic meningitis case and the genetic investigation of the isolated poliovirus type 2. The results of the genetic analysis indicate that the mechanism of this meningitis could be the result of the reversion of the virus during rep- lication in the other vaccine recipients, suggesting a quest for revising the current vaccination program.
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社区获得性脑膜炎脊髓灰质炎疫苗病毒神经链基因组序列的还原
与使用口服脊髓灰质炎减毒活疫苗相关的神经系统并发症并不常见,但有时也有接种者或接触者出现疫苗相关的麻痹性脊髓灰质炎的报道。我们在此报告一个社区获得性无菌性脑膜炎病例和分离的2型脊髓灰质炎病毒的遗传调查。遗传分析的结果表明,这种脑膜炎的机制可能是病毒在其他疫苗接种者的再接种过程中逆转的结果,这表明需要修改当前的疫苗接种计划。
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