Preview

Pediatric pharmacology

Advanced search

Multidisciplinary Approach in Vaccination of a Child with Food Allergy: Clinical Case

https://doi.org/10.15690/pf.v19i1.2350

Abstract

Children with chicken egg protein allergy are denied performing vaccination against measles, mumps, influenza in Russian Federation thus far, thus it is unreasonable. This article presents a clinical case of 2 years 6 months old boy with cow’s milk protein allergy symptoms and high levels of specific IgE antibodies (sIgE) to chicken egg protein. He was unreasonably denied performing vaccination against measles, rubella, and mumps at the place of residence according to false interpretation of the clinical situation as the absolute contraindication for vaccination. Lately, the child was successfully vaccinated against these infections at Research Institute of Pediatrics and Children’s Health in “Central Clinical Hospital of the Russian Academy of Sciences”. The examination dynamics is presented, as well as the data on the extended allergy diagnostics of separate components via the ISAC allergochip. Finally, the prognosis on food allergy resolution and recommendations on nutrition and further vaccination were given for this patient.

About the Authors

Vera G. Kalugina
Research Institute of Pediatrics and Children’s Health in Central Clinical Hospital of the Russian Academy of Sciences
Russian Federation

MD; eLibrary SPIN: 7168-3817

1/1 Fotievoy Str., 119333, Moscow, +7 (499) 137-01-97


Disclosure of interest:

Not declared



Marina V. Fedoseenko
Research Institute of Pediatrics and Children’s Health in Central Clinical Hospital of the Russian Academy of Sciences; Pirogov Russian National Research Medical University
Russian Federation

MD, PhD, eLibrary SPIN: 6339-5386

Moscow


Disclosure of interest:

Not declared



Anna A. Alekseeva
Research Institute of Pediatrics and Children’s Health in Central Clinical Hospital of the Russian Academy of Sciences
Russian Federation

MD, PhD; eLibrary SPIN: 7253-7970

Moscow


Disclosure of interest:

Not declared



Kamilla E. Efendieva
Research Institute of Pediatrics and Children’s Health in Central Clinical Hospital of the Russian Academy of Sciences; Pirogov Russian National Research Medical University
Russian Federation

MD, PhD; eLibrary SPIN: 5773-3901

Moscow


Disclosure of interest:

Not declared



Julia G. Levina
Research Institute of Pediatrics and Children’s Health in Central Clinical Hospital of the Russian Academy of Sciences; Pirogov Russian National Research Medical University
Russian Federation

MD, PhD; eLibrary SPIN: 4626-2800

Moscow


Disclosure of interest:

Not declared



Tatiana A. Kaliuzhnaia
Research Institute of Pediatrics and Children’s Health in Central Clinical Hospital of the Russian Academy of Sciences; Pirogov Russian National Research Medical University
Russian Federation

PhD; eLibrary SPIN: 5155-8995

Moscow


Disclosure of interest:

Not declared



Svetlana V. Tolstova
Research Institute of Pediatrics and Children’s Health in Central Clinical Hospital of the Russian Academy of Sciences
Russian Federation

MD; eLibrary SPIN: 1130-3833

Moscow


Disclosure of interest:

Not declared



Elena A. Vishneva
Research Institute of Pediatrics and Children’s Health in Central Clinical Hospital of the Russian Academy of Sciences; Pirogov Russian National Research Medical University
Russian Federation

MD, PhD, Professor; eLibrary SPIN: 1109-2810

Moscow


Disclosure of interest:

Not declared



Leyla S. Namazova-Baranova
Research Institute of Pediatrics and Children’s Health in Central Clinical Hospital of the Russian Academy of Sciences; Pirogov Russian National Research Medical University; Belgorod National Research University
Russian Federation

MD, PhD, Professor, Academician of the RAS; eLibrary SPIN: 1312-2147

Moscow; Belgorod


Disclosure of interest:

Not declared



References

1. Zhou W, Pool V, Iskander JK, et al. Surveillance for safety after immunization: Vaccine Adverse Event Reporting System (VAERS) — United States, 1991–2001. MMWR Surveill Summ. 2003;52(1):1–24.

2. Lawrence GL, Boyd I, McIntyre PB, Isaacs D. Annual report: surveillance of adverse events following immunisation in Australia 2004. Commun Dis Intell. 2005;29(3):248–262.

3. Zent O, Arras-Reiter C, Broeker M, Hennig R. Immediate allergic reactions after vaccinations — a post-marketing surveillance review. Eur J Pediatr. 2002;161(5):21–25. doi: https://doi.org/10.1007/s00431-001-0853-0

4. Bohlke K, Davis RL, Marcy SM, et al. Risk of anaphylaxis after vaccination of children and adolescents. Pediatrics. 2003;112(4):815–820. doi: https://doi.org/10.1542/peds.112.4.815

5. ASCIA. Influenza vaccination of the egg-allergic individual: Guidelines for medical practitioners. — 2010.

6. Clark A, Skypala I, Leech S, et al. British Society for Allergy and Clinical Immunology guidelines for the management of egg allergy. Clin Exp Allergy. 2010;40(8):1116–1129. doi: https://doi.org/10.1111/j.1365-2222.2010.03557.x

7. EAACI (European Academy of Allergy and Clinical Immunology) recommendations for health professionals regarding seasonal and swine influenza vaccination in egg-allergic patients: Press release. 26 Oct 2009. Zurich: EAACI; 2009.

8. Mullins RJ, Kemp A, Gold M. Influenza vaccination of the egg-allergic individual. MJA. 2010;193(5):254–255. doi: https://doi.org/10.5694/j.1326-5377.2010.tb03900.x

9. Echeverría-Zudaire LA, Ortigosa-del Castillo L, Alonso-Lebrero E, et al. Consensus document on the approach to children with allergic reactions after vaccination or allergy to vaccine components. Allergol Immunopathol (Madr). 2015;43(3):304–325. doi: https://doi.org/10.1016/j.aller.2015.01.004

10. Allergologiya i immunologiya: Clinical guidelines for pediatricians. Baranov AA, Khaitov RM, eds. — Moscow: Union of Pediatricians of Russia; 2020. — 412 p. (In Russ).

11. Kelso JM. Allergic reactions to vaccines. In: UpToDate. 2021. Available online: https://www.uptodate.com/contents/allergicreactions-to-vaccines. Accessed on 22.01.2021.

12. Nilsson L, Brockow K, Alm J, et al. Vaccination and allergy: EAACI position paper, practical aspects. Pediatr Allergy Immunol. 2017;28(7):628–640. doi: https://doi.org/10.1111/pai.12762

13. James JM, Zeiger RS, Lester MR, et al. Safe administration of influenza vaccine to patients with egg allergy. J Pediatr. 1998;133(5):624–628. doi: https://doi.org/10.1016/s0022-3476(98)70101-5

14. Gagnon R, Primeau MN, Des Roches A, et al. Safe vaccination of patients with egg allergy with an adjuvanted pandemic H1N1 vaccine. J Allergy Clin Immunol. 2010;126(2):317–323. doi: https://doi.org/10.1016/j.jaci.2010.05.037

15. Greenhawt MJ, Chernin AS, Howe L, et al. The safety of the H1N1 influenza A vaccine in egg allergic individuals. Ann Allergy Asthma Immunol. 2010;105(5):387–393. doi: https://doi.org/10.1016/j.anai.2010.08.015

16. Owens G, MacGinnitie A. Higher-ovalbumin-content influenza vaccines are well tolerated in children with egg allergy. J Allergy Clin Immunol. 2011;127(1):264–265. doi: https://doi.org/10.1016/j.jaci.2010.10.005

17. Conlon AS, Greenhawt MJ, Sanders GM. Safe administration of seasonal influenza vaccine to children with egg allergy of all severities. Ann Allergy Asthma Immunol. 2011;106(5):446–447. doi: https://doi.org/10.1016/j.anai.2011.01.024

18. O’Brien TC, Maloney CJ, Tauraso NM. Quantitation of residual host protein in chicken embryo-derived vaccines by radial immunodiffusion. Appl Microbiol. 1971;21(4):780–782. doi: https://doi.org/10.1128/am.21.4.780-782.1971

19. Fasano MB, Wood RA, Cooke SK, Sampson HA. Egg hypersensitivity and adverse reactions to measles, mumps, and rubella vaccine. J Pediatr. 1992;120(6):878–881. doi: https://doi.org/10.1016/s0022-3476(05)81953-5

20. Franceschini F, Bottau P, Caimmi S, et al. Vaccination in children with allergy to non-active vaccine components. Clin Transl Med. 2015;4:3. doi: https://doi.org/10.1186/s40169-014-0043-0

21. Erlewyn-Lajeunesse M, Hunt LP, Heath PT, Finn A. Anaphylaxis as an adverse event following immunization in the UK and Ireland. Arch Dis Child. 2012;97(6):487–90. doi: https://doi.org/10.1136/archdischild-2011-301163

22. Dreskin SC, Halsey NA, Kelso JM, et al. International Consensus (ICON): allergic reactions to vaccines. World Allergy Organ J. 2016;9(1):32. doi: https://doi.org/10.1186/s40413-016-0120-5

23. Committee on Infectious Diseases, American Academy of Pediatrics. Recommendations for prevention and control of influenza in children, 2012–2013. Pediatrics. 2012;130(4):780–792. doi: https://doi.org/10.1542/peds.2012-2308

24. Clark A, Islam S, King Y, et al. A longitudinal study of resolution of allergy to well-cooked and uncooked egg. Clin Exp Allergy. 2011;41:706–712. doi: https://doi.org/10.1111/j.1365-2222.2011.03697.x

25. Sicherer SH, Wood RA, Vickery BP, et al. The natural history of egg allergy in an observational cohort. J Allergy Clin Immunol. 2014;133(2):492–499. doi: https://doi.org/10.1016/j.jaci.2013.12.1041


Review

For citations:


Kalugina V.G., Fedoseenko M.V., Alekseeva A.A., Efendieva K.E., Levina J.G., Kaliuzhnaia T.A., Tolstova S.V., Vishneva E.A., Namazova-Baranova L.S. Multidisciplinary Approach in Vaccination of a Child with Food Allergy: Clinical Case. Pediatric pharmacology. 2022;19(1):33-38. (In Russ.) https://doi.org/10.15690/pf.v19i1.2350

Views: 587


ISSN 1727-5776 (Print)
ISSN 2500-3089 (Online)