Hepatitis B in a vaccinated soldier: a case report

被引：1

作者：

McLean, Keri ^{[1
,2
]}

Elmer, T. B. ^{[3
]}

Freshwater, D. A. ^{[4
]}

Lamb, L. ^{[5
,6
,7
]}

Woolley, S. D. ^{[1
,8
,9
]}

机构：

[1] Royal Liverpool & Broadgreen Univ Hosp NHS Trust, Trop & Infect Dis Unit, Liverpool L7 8XP, Merseyside, England

[2] Univ Liverpool, Inst Ageing & Chron Dis, Dept Eye & Vis Sci, Liverpool, Merseyside, England

[3] Def Med Serv Ringgold Stand Inst, Def Publ Hlth Unit, Lichfield, England

[4] Queen Elizabeth Hosp, Liver & Hepatobiliary Unit, Birmingham, W Midlands, England

[5] Royal Free London NHS Fdn Trust, Dept Infect, London, England

[6] UCL, Div Infect & Immun, London, England

[7] Royal Ctr Def Med, Acad Dept Mil Med, Birmingham, W Midlands, England

[8] Univ Liverpool Liverpool Sch Trop Med, Clin Sci, Liverpool, Merseyside, England

[9] Inst Naval Med, Alverstoke, Hants, England

来源：

JOURNAL OF THE ROYAL ARMY MEDICAL CORPS | 2019年 / 165卷 / 03期

关键词：

hep B; hepatitis; vaccine;

D O I：

10.1136/jramc-2018-001019

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Assessing for an adequate immunological response to a pre-exposure course of hepatitis B vaccine is not routinely recommended in all vaccinated individuals. Current UK guidelines advise checking hepatitis B surface antibody titres only in those considered at high occupational risk such as healthcare and laboratory workers. We present a case of an infantry soldier who developed acute hepatitis B despite having a complete course of hepatitis B vaccinations. This case emphasises that hepatitis B is still an important differential diagnosis for all returning military personnel who present with compatible symptoms despite being vaccinated.

引用

页码：201 / 203

页数：3