[PAGID] dental extractions in CGD patient

[Kathleen E. Sullivan]

I use clindamycin for CGD patients with dental issues.  For myself, I  
tend to reserve WBCs for more serious medical problems.

Kate
Kathleen E. Sullivan MD PhD
Chief, Division of Allergy and Immunology
Professor of Pediatrics
The Children's Hospital of Philadelphia
(p) 215-590-1697
(f) 267-426-0363


On Jul 24, 2007, at 10:00 PM, Richard L. Wasserman, M.D.,Ph.D. wrote:


> 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

>


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