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Correspondence |

A Case Report of Transverse Myelitis Following Influenza Vaccination—Reply

Wafa Akkad, MD; Bassel Salem, MD; Jerome W. Freeman, MD; Mark K. Huntington, MD, PhD
Arch Neurol. 2011;68(8):1085-1086. doi:10.1001/archneurol.2011.173.
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We appreciate Ambrose and colleagues' interest in our article, and their diligence in investigating the safety of the vaccine their employer produces. We are active advocates of appropriate immunization, including H1N1 influenza vaccination. It would be a tragedy if our article was used to discourage immunizations.

They state that the precise cause of our patient's TM is not known, and that recent Mycoplasma infection and seasonal influenza vaccine are possible etiologies. We concur that the precise cause is not known. As mentioned in the original article,1 determining the exact cause of TM is difficult; among vaccine-associated cases, a causal relationship has been established only for the oral polio vaccine.2

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August 1, 2011
Christopher S. Ambrose, MD; Brett Loop, MPH; Robert Miday, MD
Arch Neurol. 2011;68(8):1085-1086. doi:10.1001/archneurol.2011.172.
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