Accelerated Immunodeficiency-associated Vaccine-derived Poliovirus Serotype 3 Sequence Evolution Rate in an 11-week-old Boy With X-linked Agammaglobulinemia and Perinatal Human Immunodeficiency Virus Exposure.

Jallow, Sabelle; Wilmshurst, Jo M; Howard, Wayne; Copelyn, Julie; Seakamela, Lerato; Chan, Koon-Wing; Sebunya, Robert; Sibiya, Rosinah et al. · Clin Infect Dis · 2020

case_report · Level V

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Abstract

Primary B-cell immunodeficiencies are risk factors for the generation of vaccine-derived polioviruses. We report immunodeficiency-associated vaccine-derived poliovirus serotype 3 in an 11-week-old boy with X-linked agammaglobulinemia. Unique characteristics of this case include early age of presentation, high viral evolutionary rate, and the child's perinatal exposure to human immunodeficiency virus.

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