[PAGID] CGD patient

Holland, Steven (NIH/NIAID) [E] SHOLLAND at niaid.nih.gov
Wed Jul 28 13:46:37 EDT 2010


Good idea. I would not bother with galactomannan, as this can not be aspergillus fumigatus. A beta-D-glucan might give you something to follow, but a CRP is probably easier and more sensitive and you have the CT as well. I will be very surprised if it is Granulibacter or any other bacteria.

Steve


On 7/28/10 5:23 AM, "Pere Soler Palacin" <psoler at vhebron.net> wrote:


Dear all, many thanks for your comments. Surgical resection of the lesion will be done next friday.
We have already stopped Rifampin and our microbiologists have already contacted Dr Greenberg to improve culture methods for Granulibacter and Geosmithia.
In response to Dr. Chinen comments Galactomanan has been repeteadly performed both in blood and BAL with negative results (sorry I forgot it in my last mail).
We'll keep you informed,

Please find attached some CT and MRI imatges that I think could be helpful to evaluate patient's clinical situation

Yours,


Pere Soler Palacín

Pediatric Infectious Diseases and Immunodeficiencies Unit

Vall d'Hebron University Hospital

Barcelona, Spain


--
Chief, Laboratory of Clinical Infectious Diseases
CRC B3-4141 MSC 1684
Bethesda, MD 20892-1684
301-402-7684 (v)
301-480-4508 (fax)
smh at nih.gov
Assistant: Adrienne Woodworth
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301-480-4506 (fax)
awoodworth at niaid.nih.gov


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