Vaccine-associated Rubella - a report of two cases and a review of the literature

We report the clinical characteristics of two adult patients, presenting with a typical erythematous rash consistent with rubella disease after MMR vaccination. Both patients had an uncomplicated clinical course and recovered uneventfully. One patient was confirmed to have vaccine-associated rubella...

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Main Authors: Sean Wei Xiang Ong (Author), Shawn Vasoo (Author), Sapna P. Sadarangani (Author), Lin Cui (Author), Kalisvar Marimuthu (Author), Poh Lian Lim (Author), Jing Wen Kong (Author), Judith Chui Ching Wong (Author), Kim Yoong Puong (Author), Kwai Peng Chan (Author)
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Published: Taylor & Francis Group, 2021-01-01T00:00:00Z.
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100 1 0 |a Sean Wei Xiang Ong  |e author 
700 1 0 |a Shawn Vasoo  |e author 
700 1 0 |a Sapna P. Sadarangani  |e author 
700 1 0 |a Lin Cui  |e author 
700 1 0 |a Kalisvar Marimuthu  |e author 
700 1 0 |a Poh Lian Lim  |e author 
700 1 0 |a Jing Wen Kong  |e author 
700 1 0 |a Judith Chui Ching Wong  |e author 
700 1 0 |a Kim Yoong Puong  |e author 
700 1 0 |a Kwai Peng Chan  |e author 
245 0 0 |a Vaccine-associated Rubella - a report of two cases and a review of the literature 
260 |b Taylor & Francis Group,   |c 2021-01-01T00:00:00Z. 
500 |a 2164-5515 
500 |a 2164-554X 
500 |a 10.1080/21645515.2020.1765623 
520 |a We report the clinical characteristics of two adult patients, presenting with a typical erythematous rash consistent with rubella disease after MMR vaccination. Both patients had an uncomplicated clinical course and recovered uneventfully. One patient was confirmed to have vaccine-associated rubella via sequencing of virus isolated in viral culture. The other patient had a pharyngeal swab positive for rubella virus PCR, with sequencing matching the vaccine strain. There are few reports of clinical disease from rubella vaccine-strains in the literature. Previous authors have reported severe disseminated vaccine-associated rubella in both immunodeficient and immunocompetent patients. Further study is required to ascertain the incidence, risk factors, and clinical characteristics of this condition; as well as investigate the extent of horizontal transmission to guide infection control recommendations. 
546 |a EN 
690 |a rubella 
690 |a vaccine 
690 |a genotyping 
690 |a vaccine strain 
690 |a mmr 
690 |a Immunologic diseases. Allergy 
690 |a RC581-607 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Human Vaccines & Immunotherapeutics, Vol 17, Iss 1, Pp 224-227 (2021) 
787 0 |n http://dx.doi.org/10.1080/21645515.2020.1765623 
787 0 |n https://doaj.org/toc/2164-5515 
787 0 |n https://doaj.org/toc/2164-554X 
856 4 1 |u https://doaj.org/article/3db4dbf3534b4db8a440d422d145f7f0  |z Connect to this object online.