Rationale:Guillain Barre syndrome(GBS)is an acute neurological illness leading to quadriparesis with respiratory involvement.It can be triggered by infections,vaccinations,surgery,trauma,transplantation and drugs.Anti...Rationale:Guillain Barre syndrome(GBS)is an acute neurological illness leading to quadriparesis with respiratory involvement.It can be triggered by infections,vaccinations,surgery,trauma,transplantation and drugs.Anti-rabies cell culture vaccines introduced to overcome the high rate of neurological complications associated with tissue based rabies vaccine,can be very rarely associated with GBS.Patient concerns:A 50-year-old female presented with acute severe upper back pain evolving into pure motor quadriparesis following administration of human diploid cell vaccine for rabies.Diagnosis:Acute motor axonal neuropathy variant of GBS following anti-rabies human diploid cell vaccine.Interventions:Intravenous high dose steroids.Outcomes:Patient recovered completely within 1 month.Lessons:Although anti-rabies cell culture vaccines are highly immunogenic and safe,they are rarely associated with GBS.Clinicians should be aware of this link because prompt diagnosis and treatment can result in complete recovery and avoid complications.展开更多
目的：探讨不同感染复数（Multiplicity of infection,MOI）的狂犬病毒PM株在人二倍体细胞（2BS株）中增殖的影响,确定感染复数。方法将狂犬病毒PM株按照MOI 0.01、0.02、0.05、0.10、0.15、0.20接种至2BS细胞中,用显微镜观察接种病毒...目的：探讨不同感染复数（Multiplicity of infection,MOI）的狂犬病毒PM株在人二倍体细胞（2BS株）中增殖的影响,确定感染复数。方法将狂犬病毒PM株按照MOI 0.01、0.02、0.05、0.10、0.15、0.20接种至2BS细胞中,用显微镜观察接种病毒后细胞的形态变化；培养3-5d后,第一次收获病毒液；更换培养液继续培养3-4d后,进行第二次收获。采用小鼠脑内滴定法测定狂犬病毒滴度,通过NIH法测定灭活病毒液的效价。结果当MOI为0.05-0.10时,细胞圆缩30%-40%,细胞能维持较好的生长形态,可收获病毒,病毒收获液的滴度较高（〉5.0 lgLD50/mL）,且灭活后病毒液的效价较高（〉4.0IU/mL）。结论确定狂犬病毒PM株在人二倍体2BS细胞增殖的适宜MOI,为人用狂犬病疫苗生产工艺的优化提供了依据。展开更多
文摘Rationale:Guillain Barre syndrome(GBS)is an acute neurological illness leading to quadriparesis with respiratory involvement.It can be triggered by infections,vaccinations,surgery,trauma,transplantation and drugs.Anti-rabies cell culture vaccines introduced to overcome the high rate of neurological complications associated with tissue based rabies vaccine,can be very rarely associated with GBS.Patient concerns:A 50-year-old female presented with acute severe upper back pain evolving into pure motor quadriparesis following administration of human diploid cell vaccine for rabies.Diagnosis:Acute motor axonal neuropathy variant of GBS following anti-rabies human diploid cell vaccine.Interventions:Intravenous high dose steroids.Outcomes:Patient recovered completely within 1 month.Lessons:Although anti-rabies cell culture vaccines are highly immunogenic and safe,they are rarely associated with GBS.Clinicians should be aware of this link because prompt diagnosis and treatment can result in complete recovery and avoid complications.
文摘目的 评价不同细胞基质制备的肠道病毒71型（EV71）灭活疫苗上市后常规免疫安全性。 方法 EV71灭活疫苗疑似预防接种异常反应（AEFI）数据来源于中国免疫规划信息管理系统，为2017年接种EV71 灭活疫苗后江苏省报告的监测数据；受种儿童人口学信息和接种剂次数来源于江苏省预防接种信息管理系统。 结果 2017年江苏省共接种EV71灭活疫苗316 889剂，报告AEFI 208例，报告发生率为65.64/10万剂（95% CI ：56.72/10万剂～74.56/10万剂），其中一般反应55.54/10万剂（95% CI ：47.34/10万剂～63.74/10万剂），异常反应 7.89/10万剂（95% CI ：4.80/10万剂～10.98/10万剂）；不同细胞基质的疫苗AEFI发生率（χ 2 =35.61， P ＜0.01）和一般反应发生率（χ 2 =34.09， P ＜0.01）差异有统计学意义，异常反应发生率差异无统计学意义（χ 2 =1.88， P =0.17），均未见严重异常反应，208例AEFI均未住院且均痊愈。EV71灭活疫苗（Vero细胞）首剂接种一般反应发生率高于第二剂（χ 2 =6.94， P ＜0.01），不同季度接种EV71灭活疫苗（人二倍体细胞）一般反应发生率差异有统计学意义（χ 2 =18.86， P ＜0.01）。 结论 不同细胞基质的EV71灭活疫苗在常规免疫接种中AEFI发生率均不高，有良好的安全性；一般反应以发热为主，异常反应以过敏性-荨麻疹、过敏性皮疹和过敏性斑丘疹等过敏性反应为主。
文摘目的：探讨不同感染复数（Multiplicity of infection,MOI）的狂犬病毒PM株在人二倍体细胞（2BS株）中增殖的影响,确定感染复数。方法将狂犬病毒PM株按照MOI 0.01、0.02、0.05、0.10、0.15、0.20接种至2BS细胞中,用显微镜观察接种病毒后细胞的形态变化；培养3-5d后,第一次收获病毒液；更换培养液继续培养3-4d后,进行第二次收获。采用小鼠脑内滴定法测定狂犬病毒滴度,通过NIH法测定灭活病毒液的效价。结果当MOI为0.05-0.10时,细胞圆缩30%-40%,细胞能维持较好的生长形态,可收获病毒,病毒收获液的滴度较高（〉5.0 lgLD50/mL）,且灭活后病毒液的效价较高（〉4.0IU/mL）。结论确定狂犬病毒PM株在人二倍体2BS细胞增殖的适宜MOI,为人用狂犬病疫苗生产工艺的优化提供了依据。
