A CASE OF POLIO BY VACCINATION

Case Report: We describe a 69 year-old female who became ill with poli o after having changed the nappies of her grandchild who, six weeks ea rlier, had been vaccinated with oral live-vaccine against polio. Anamn esis and neurological status with limp paralysis in both legs oblige, with their implications, that the patient be isolated initially. Proof of poliomyelitis was to be found, in addition to typical medical find ings, in the virus analysis in the stool, determined by polymerase cha in reaction and in the discovery of antibodies from the serum by means of a neutralisation test. The neurological disorder could not be trea ted medically. The main priority was intensive physiotherapy. With wal king aids the patient had only limited walking ability three months la ter. Conclusion: Discussed are: the meaning of anamnesis and specific diagnosis of illness and immune deficiency, the morbidity and necessit y for certain protection against children recently vaccinated with liv e-vaccine, also the provision for an individually structured plan for vaccination after satisfactory information.