[PAGID] dental extractions in CGD patient

[Antonio Condino]

Give antibiotics and no problem with steroids
-- 
Antonio Condino MD PhD
Associate Professor and Vice-Chair
Department of Immunology
Institute of Biomedical Sciences
University of Sao Paulo
1730 Lineu Prestes Avenue 1730
Sao Paulo - SP. ZIP 05508-900.
Brazil
Tel 55 11 3091-7387
Fax 55 11 3091-7224



Citando "Kathleen E. Sullivan" <sullivak at mail.med.upenn.edu>:


> 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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Instituto de Ciências Biomédicas da USP (IMP/WEBMAIL)