[PAGID] IVIG and aseptic meningitis

[Amos Etzioni]

Dear Cris
I have several patients with similar symptoms who respond very favorable
to a NSAID an hour before the infusion and 12 hours post.

Amos Etzioni MD
Professor of Pediatrics and Immunology
Director - Meyer Children's Hospital
Bat- Galim, Haifa, Israel 31096
Tel- 972-4-854 2936
Fax- 972-4-854 1870
Email - etzioni at rambam.health.gov.il

-----Original Message-----
From: pagid-bounces at list.clinimmsoc.org
[mailto:pagid-bounces at list.clinimmsoc.org] On Behalf Of Chris Seroogy
Sent: Wednesday, December 05, 2007 5:21 PM
To: pagid at list.clinimmsoc.org
Subject: [PAGID] IVIG and aseptic meningitis

Dear Colleagues,

I have a question about management of aseptic meningitis and IVIG.

We have a 5 y/o with chemotherapy-induced immunodeficiency who meets
criteria for immunoglobulin replacement.  He just had his first infusion
(400mg/kg gammagard S/D) which went well, but 48 hours later developed
severe headache and stiff neck.  I did not evaluate him, but the
heme/onc
colleagues felt he had aseptic meningitis and this resolved with pain
management.

My question is what has worked for individuals to prevent/prophylaxis
this
side effect?  He needs the product and I am told subcutaneous is not an
option since he will pull out the tubing and it would be too much of a
time
commitment for the family.  Thank you for any input!  Regards, Chris




-- 
This message has been scanned for viruses and
dangerous content by Rambam Medical Center Mail Scanner, and is
believed to be clean.


-- 
This message has been scanned for viruses and
dangerous content by Rambam Medical Center Mail Scanner, and is
believed to be clean.