Preemptive Tecovirimat Use in an Active Duty Service Member Who Presented With Acute Myeloid Leukemia After Smallpox Vaccination.

Lindholm, David A; Fisher, Raymond D; Montgomery, Jay R; Davidson, Whitni; Yu, Patricia A; Yu, Yon C; Burgado, Jillybeth; Wilkins, Kimberly et al. · Clin Infect Dis · 2019

case_report · Level V

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Abstract

Smallpox vaccine is contraindicated in immunosuppression due to increased risk for adverse reactions (eg, progressive vaccinia). We describe the first-ever use of tecovirimat as a preemptive vaccinia virus treatment strategy during induction chemotherapy in an active duty service member who presented with acute leukemia and inadvertent autoinoculation after smallpox vaccination.

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