Hepatitis B in a vaccinated soldier: a case report

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...

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Bibliographic Details
Published in:	Journal of the Royal Army Medical Corps Vol. 165; no. 3; p. 201
Main Authors:	McLean, Keri, Elmer, T B, Freshwater, D A, Lamb, L, Woolley, S D
Format:	Journal Article
Language:	English
Published:	England 01-06-2019
Subjects:	Adult Hepatitis B Hepatitis B Antibodies - blood Hepatitis B Vaccines - adverse effects Humans Male Military Personnel Thailand United Kingdom Young Adult Thailand United Kingdom hep B hepatitis vaccine
Online Access:	Get more information
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Summary:	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.
ISSN:	2052-0468
DOI:	10.1136/jramc-2018-001019