a 5 mnth old child is brot with cugh n failure to thrive...pt had candida infection...blood picture ...wbc..4600....anti cd 16 n anti cd 20 pressent...no lymphocytes...scrappings from buccal mucosa nt responsive to phytohaemagglutinin...whch vaccine can b safely administerd
1..sabin
2..salk
3..v-z
4..adenovirus
5..mealses mump rubella
hey okt3..answer is salk..bt y?i dunt hav d explaination
i thought the child has AIDS so i was going towards MMR okt3 can you explain why u picked salk
KILLED vaccine only no live vaccine in this case
salK POLIO is killed.
this patient has no lymphocytes and here quick review
From FA:
Live attenuated vaccines induce humoral and cell-mediated immunity but have reverted to virulence on rare occasions.
Killed vaccines induce only humoral immunity but are stable.
Dangerous to give live vaccines to immunocompromised patients or their close contacts.
Live attenuated:
measles, mumps, rubella, MMR = measles, mumps,rubella
Sabin polio, VZV, yellow fever, smallpox, adenovirus.
Killed:
rabies, influenza, Salk polio, and HAV.
SalK = Killed vaccines.