A 2-year-old boy and his mother contracted a rare, life-threatening
infection from his soldier father's smallpox vaccination, according
to a published report.
The boy developed a virulent rash over 80 percent of his body
earlier this month after coming in contact with his father,
who had been vaccinated before he was to be deployed overseas
by the U.S. Army, the Chicago Tribune reported Saturday.
Doctors stressed that the boy was not suffering from smallpox,
but from the related vaccinia virus which is used to convey
immunity to the much deadlier disease. They said the boy, who
seemed to be improving, may lose 20 percent of his outer skin
layer.
The boy and his mother remained hospitalized in a specially
ventilated room, though there is no infection risk for the general
population because the vaccinia virus can be spread only through
close physical contact. The family's name was not released at
their request.
Doctors said the infection was a rare condition called eczema
vaccinatum, which has not been reported since at least 1990,
when the U.S. military ended a previous program of smallpox
vaccination. Smallpox was declared eradicated in 1980.
The military began smallpox vaccinations again in 2002 because
of bioterrorism fears.
Doctors said the child suffered from eczema, which is a known
risk factor for vaccinia infection. People with eczema are warned
not to have close physical contact with the recently vaccinated
because the condition allows the virus to enter the skin, they
said.
The U.S. Defense Department and federal, state and local health
authorities have been in daily contact with the hospital.
Dr. Madelyn Kahana, the hospital's chief of pediatric intensive
care, said the boy had been treated with a potent antiviral
drug, as well as with an anti-vaccinia agent supplied by the
U.S. Centers for Disease Control and Prevention and the experimental
drug ST-246, which had been untried as a therapy in humans.