[CIS-PAGID] Ivasive pneumococcal disease.

[Church, Joseph]

Colleagues:

 

I have evaluated a 4yo boy who had pneumococcal pneumonia + empyema at
2.5yo.

 

His fraternal twin died at 6mo from pneumococcal meningitis.

 

Normal labs have included:

-          CBCs

-          IgG, A, M, E

-          Tetanus, Hib, pneumococcal vaccine responses (including
persistently +19/23 serotypes following Pneumovax)

-          CH50

-          AH50

-          T, B numbers

-          Mitogen and antigen LPAs

-          HIV PCR

-          Mannose binding lectin 

-          TLR function (measured at IBT Labs).

 

What am I missing?

 

Joe Church

Clinical Immunology and Allergy

Children's Hospital Los Angeles

 

 



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