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Safety of Live Immunization in DiGeorge Syndrome: A Retrospective Single-Center Study in Korea, 2005-2021

Authors
 Sung Min Lim  ;  Je Hee Shin  ;  Jee Yeon Baek  ;  Ji Young Lee  ;  Ji-Man Kang  ;  Jong Gyun Ahn 
Citation
 VACCINES, Vol.10(12) : 2165, 2022-12 
Journal Title
VACCINES
Issue Date
2022-12
Keywords
DiGeorge syndrome ; adverse events ; immunodeficiency ; live immunization ; vaccination
Abstract
Live immunization is contraindicated in patients with DiGeorge syndrome (DGS). We retrospectively investigated the occurrence of adverse events after live immunization in patients with DGS in Korea. The data of patients matching the International Classification of Disease-10 code of DGS (D82.1) at Severance Hospital Seoul, Korea, were extracted; patients without genetically diagnosed DGS were excluded. Based on T cell immunity status, the included patients were categorized into group A (CD3 < 500 or CD8 < 200 cells/mm3); group B (CD3 ≥ 500 and CD8 ≥ 200 cells/mm3); or group C (unknown). Among 94 patients, 38 (~40%, group A: 8 [21%]; group B: 30 [79%]) underwent immunological testing and 73 (~80%) received at least one live immunization (measles-mumps-rubella vaccination was most common [66/94, ~70%]). Fifty adverse events (fever [n = 29], upper respiratory infection [n = 9], diarrhea [n = 4], rash [n = 3], thrombocytopenia [n = 3], injection site pus [n = 1], and febrile convulsion [n = 1]) were observed; 13 (26%) occurred in group A, with no significant difference in incidence between groups A and B. Serious adverse events, including intensive care unit hospitalization or death, or diseases due to vaccine strains were not observed. In this study, live immunization was well tolerated by patients with partial DGS.
Files in This Item:
T202300216.pdf Download
DOI
10.3390/vaccines10122165
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ji-Man(강지만) ORCID logo https://orcid.org/0000-0002-0678-4964
Baek, Jee Yeon(백지연) ORCID logo https://orcid.org/0000-0001-6674-8618
Ahn, Jong Gyun(안종균) ORCID logo https://orcid.org/0000-0001-5748-0015
Lim, Sungmin(임성민)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/192958
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