Volume 6, Number 1—February 2000
Perspective
Japanese Encephalitis Immunization in South Korea: Past, Present, and Future
Table 2
Case | Age/sex | Previous vaccination | Vaccine strain | Date of vaccination | Date of onset | Symptoms at onset/ sequelae/laboratory findings | Outcome |
---|---|---|---|---|---|---|---|
1 | 5/F | 2 doses of JE | Nakayama | 5/23/94 | 5/23/94 | Anaphylactic shock | Death |
(Lot 3008) | collapse, cardiac arrest | ||||||
2 | 5/M | 2 doses of JE | Nakayama | 5/23/94 | 5/23/94 | Anaphylactic shock | Death |
(Lot 3008) | collapse, cardiac arrest | ||||||
3 | 15/F | 8 doses of JE | Nakayama | 4/4/94 | |||
(Unknown) | |||||||
2 doses of | Hantavax | 4/20/94 | 5/13/94 | Headache, auditory | Death | ||
HRFS | (Unknown) | hallucination, seizure | |||||
Brain CT normal | |||||||
MRI normal | |||||||
EEG moderate to severe cortical dysfunction, | |||||||
multifocal generalized | |||||||
polyspike and slow wave | |||||||
on both hemispheres | |||||||
CSF protein (20 mg/dl), glucose (78 mg/dl), | |||||||
WBC (17/mm3) | |||||||
4 | 8/F | >2 doses of JE | Nakayama | 5/7/94 | 5/19/94 | High fever, seizure | Recovery |
(Lot 0132-93011) | Brain CT normal | ||||||
EEG compatible with | |||||||
encephalopathy | |||||||
CSF protein (82 mg/dl), | |||||||
glucose (99 mg/dl), | |||||||
WBC (18/mm3) | |||||||
5 | 9/F | >3 doses of JE | Nakayama | 4/24/94 | 5/11/94 | High fever, headache, | Death |
(Unknown) | vomiting, seizure | ||||||
Brain CT diffuse brain edema | |||||||
CSF protein (6 mg/dl), glucose (75 mg/dl), | |||||||
WBC (10/mm3) | |||||||
6 | 2/F | none | Nakayama | 4/11/94 | 4/23/94 | Urinary incontinence, | Mental |
(Unknown) | drooling, high fever, | retar- | |||||
motor weakness, | dation | ||||||
vomiting, cranial nerve | |||||||
palsy (III,IV,VI) | |||||||
diplopia and phtosis, | |||||||
headache, seizure | |||||||
MRI compatible with acute disseminated encephalomyelitis | |||||||
7 | 10/M | >3 doses of JE | Nakayama | 4/23/96 | 5/25/96 | Headache, vomiting, | Death |
seizure, coma |
JE, Japanese encephalitis; HFRS, Hemorrhagic fever with renal syndrome; CT, computer-assisted tomography; MRI, magnetic resonance imaging; EEG, electroencephalograph; CSF, cerebrospinal fluid; WBC, white blood cells.
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