Spotlight on measles 2010: Excretion of vaccine strain measles virus in urine and pharyngeal secretions of a child with vaccine associated febrile rash illness, Croatia, March 2010

B Kaic; I Gjenero-Margan; B Aleraj; T Vilibić-Čavlek; M Santak; A Cvitković; T Nemeth-Blazic; I Ivic Hofman

doi:10.2807/ese.15.35.19652-en

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Spotlight on measles 2010: Excretion of vaccine strain measles virus in urine and pharyngeal secretions of a child with vaccine associated febrile rash illness, Croatia, March 2010
B Kaic¹ , I Gjenero-Margan¹ , B Aleraj¹ , T Vilibić-Čavlek² , M Santak³ , A Cvitković⁴ , T Nemeth-Blazic¹ , I Ivic Hofman⁴
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Affiliations: ¹ Croatian Institute of Public Health, Department of Infectious Disease Epidemiology, Zagreb, Croatia ² Croatian Institute of Public Health,Virology Department, Zagreb, Croatia ³ Institute of Immunology, Molecular Biomedicine Unit, Zagreb, Croatia ⁴ Brodsko-posavska County Institute of Public Health, Slavonski Brod, Croatia

Correspondence:
B Kaic
bernard.kaic hzjz.hr
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Citation style for this article: Kaic B, Gjenero-Margan I, Aleraj B, Vilibić-Čavlek T, Santak M, Cvitković A, Nemeth-Blazic T, Ivic Hofman I. Spotlight on measles 2010: Excretion of vaccine strain measles virus in urine and pharyngeal secretions of a child with vaccine associated febrile rash illness, Croatia, March 2010. Euro Surveill. 2010;15(35):pii=19652. https://doi.org/10.2807/ese.15.35.19652-en Received: 04 Jun 2010

Abstract

We describe excretion of measles vaccine strain Schwarz in a child who developed a febrile rash illness eight days after primary immunisation against measles, mumps and rubella. Throat swabs and urine specimens were collected on the fifth and sixth day of illness, respectively. Genotyping demonstrated measles vaccine strain Schwarz (genotype A). If measles and rubella were not under enhanced surveillance in Croatia, the case would have been either misreported as rubella or not recognised at all.