طفل عمره ٣ سنوات تلقى غلوبولين مناعي وريدي لمرض كاواساكي قبل أسبوعين، ويأخذ أسبرين. أي تعليمات صحيحة للأهل؟

A 3-year-old received IV immunoglobulin for Kawasaki disease two weeks ago and takes aspirin. Which instruction to the parents is correct?

1. Give the MMR and varicella vaccines tomorrow as scheduled
2. Delay live vaccines as advised and report chickenpox exposure
3. Give aspirin with paracetamol for any fever without advice
4. Stop aspirin straight away with any mild cold, unreviewed

Answer: B) Delay live vaccines as advised and report chickenpox exposure. Immunoglobulin blunts the response to live vaccines, which are usually deferred about 11 months. Aspirin with varicella or influenza can cause Reye syndrome, so exposure or infection is reported.