[PAGID] (no subject)

[Sullivan, John (Office of Research)]

Colleagues, I would appreciate your thoughts about the following patient; a 16 month old female who presented on July 16th, with a severe anemia[hgb 6], FTT[ wt<3%, HT at 75%] neutropenia[ <5%] and diarrhea; IgG 165, IgA 19, IgM 54, IgE 91; normal lymphocyte count with normal T cells and normal CD4/CD8, normal B cell numbers; patient has had all appropriate immunizations and has absent antibodies to the following; tetanus/diphtheria/strep pneumo/hep B/H Flu/ and Varicella; patient transfused and has stable hematocrit and will receive IVIG tomorrow[ just received results of immune workup]; thanks, John.

 
John L Sullivan MD
Professor of Pediatrics
University of Massachusetts Medical School
55 Lake Avenue North
Worcester MA 01655
Phone 508-856-1572
Fax 508-856-5004
email john.sullivan at umassmed.edu