[PAGID] intraventricular IVIG

[Pere Soler Palacin]

Dear YaeJean, we have used an Omaya reservoir to administer both intrathecal  immunoglobulin and levofloxacin in an XLA  patient with chronic encephalitis (positive PCR to Coxiella burnetti) with partial response and surgical problems. 

Anyway, some groups prefer high doses of IVIG rather than intrathecal therapy. 

Related to antiviral therapy, to my knowlegde only pleconaril   could be useful in this cases and I think is no longer available. 



Pere Soler-Palacín 

UPIIP 

HUVH 

Barcelona, Spain 




----- Mensaje original ----- 
De: "김예진" <yaejeankim at skku.edu> 
Para: pagid at list.clinimmsoc.org 
Enviados: Miércoles, 29 de Septiembre 2010 2:50:05 
Asunto: [PAGID] intraventricular IVIG 



Dear all, 



I have a 20 year-old agammagloulinemia pt who came down with chronic enterovirus meningoencephalitis. 

The pt has been on multiple antibiotics, dexamethasone, and Tb medication already several months...in other hospital.  



Anybody has an advice on intraventricular IVIG?  how about antiviral agent? Thanks in advance 



YaeJean 



-------------------------------------------------------------------------- 

Yae-Jean Kim, MD 

Assistant Professor 

Division of Infectious Diseases 

Department of Pediatrics 

Sungkyunkwan University School of Medicine 

Samsung Medical Center 

50 Irwon-dong Gangnam-gu 

Seoul, Korea 


Tel)  + 82-2-3410-0987 

Fax) +82-2-3410-0043 
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