Worker After a Mandatory Vaccination

This is a mandatory vaccination done way back in 2009 for an Australian Health Worker. No compensation for the worker?

Amplify’d from www.mja.com.au

1 Gross oedema of the patient’s hands at presentation

2 The patient’s wrist 19 days after admission

A: Clinical deformity of right wrist. B: Posteroanterior and lateral x-rays showed carpal disruption, dislocation of the distal radioulnar joint and wide diastasis of the scapholunate interval. C: At surgery, synovitis was apparent around the flexor tendons.

0

First dose of varicella vaccine

21

Second dose of varicella vaccine

26

Onset of symptoms

38

Admission to hospital

40

Serum VZV DNA level 480 000 copies/mL

Admission to intensive care unit with streptococcal toxic shock syndrome

57

Bilateral median nerve compression

68

Median nerve decompression, flexor synovectomy, and knee aspiration. No evidence of infection, clinical picture suggestive of reactive arthritis

75

Serum VZV 800 copies/mL by quantitative PCR

89

Serum negative for VZV by quantitative PCR

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