[PAGID] dental extractions in CGD patient

[Richard L. Wasserman, M.D.,Ph.D.]

I have cared for a 24 yo boy with CGD for more than 22 years. He has a 
distant history of aspergillus pneumonia and ongoing problems with 
colitis. He has been treated in the past with WBC transfusions during 
his acute aspergillus and around surgeries. He now presents with several 
deeply impacted wisdom teeth and two severely carious teeth than need 
extraction. The OMF surgeon usually treats patients who have severely 
impacted wisdom teeth with a short course of glucocorticoids post op for 
inflammation. My questions are:

1. Perioperative antimicrobial therapy? What drug?
2. Granulocyte transfusion therapy?

Any other experiences/comments would be appreciated.
Richard L. Wasserman, MD,PhD
Dallas