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Life Threatening? No
Write-up: Information has been received regarding a report from a journalist concerning an 18 month old male who on 4/25/88 was vaccinated with a dose of MMRII. Subsequently, the pt developed pneumonia and on 5/4/88, the pt died. The reporter felt that pneumonia was not related to therapy with MMRII. No further information is available. Follow-up info from a hospital physician indicated that on 04/29/1988 the pt developed fever which increased over the next couple of days to $g40 deg. c. On 05/03/1988 the pt experienced rhinitis and a slight cough and was lethargic. He was seen by a physician who reported that the pt ha dleft sided otitis. He was treated with cn, Nezeril drops and Alvedon. The possibility for a vaccine reaction was discussed, but the duration of fever was considered to have been more than expected. The following morning on 05/04/1988. The pt was found dead in his bed by his parents with much foaming, bloody liquid from his mouth. The autopsy showed inflammation of the lungs and respiratory system. A picture of interstitial pneumonia and peri-broncial inflammation which are seen in connection with inflammation caused by virus. Growth of betahemolyzing streptococcus group A could be measured in the lungs and respiratory system but was difficult to assess whether it contributed to his death. No trace of alcohol or pharmaceuticals was noted. The reporter felt that pneumonia was not related to therapy with MMR. No further info is available.
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