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  Česky / Czech version Čes.-slov. Pediat., 2005, roč. 60, č. 5, s. 288–292.
 
Failure of Vaccination against Haemophilus Influenzae Type b 
Táborská J.1, Gutová V.2, Koubová A.1, Pazdiora P.3, Lebedová V.4 

Infekční klinika Fakultní nemocnice, Plzeň1 přednostka MUDr. J. Táborská, PhD. Ústav imunologie a alergologie LF UK, Plzeň2 přednosta doc. MUDr. P. Panzner, CSc. Ústav epidemiologie LF UK, Plzeň3 vedoucí doc. MUDr. P. Pazdiora, CSc. Národní referenční laboratoř pro hemofilové nákazy, Centrum epidemiologie a mikrobiologie, SZÚ, Praha4 vedoucí MUDr. V. Lebedová
 


Summary:

       The authors present a case report of a 19-month child regularly vaccinated with three doses of the vaccine against invasive infections caused by Haemophilus influenzae type b (Hib). In spite of that the patient suffered from bacterial meningitis caused exactly by this microbial strain. The immunological examination demonstrated a deficiency of serum immunoglobulins IgA and IgG, which was probably the cause of insufficient production of antibodies against polyribosil-ribitolphosphate (PRP) antigen Hib after the vaccination and, also, the cause of the disease development. The problems in failure of vaccination against Hib are discussed.

        Key words: Haemophilus influenzae type b, vaccination, meningitis
       

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