[CIS-PAGID] peritonitis in a PD patient

[Elie Haddad]

Hi,
this is an interesting case. Have you checked for complement deficiency ?
Regards
Elie Haddad

Elie Haddad, MD, PhD;
Professor of Pediatrics, University of Montreal,
Head, Pediatric Immunology and Rheumatology Division,
CHU Sainte-Justine, 3175 Cote Sainte-Catherine
Montreal, QC, H3T 1C5, Canada
Ph: 1 514 345 4713
fax: 1 514 345 4897
e-mail: elie.haddad at umontreal.ca


Le 2011-06-20 à 09:52, Richard Wasserman a écrit :


> I have been asked to evaluate a two year old who has been on peritoneal dialysis since 12 days of age because of recurrent peritonitis with unusual organisms. Cultures have grown Xylosoxidans, gamma hemolytic strep, pseudomonas, strep viridans, strep pneumoniae, group b strep, staph aureus. Most recently, the staph aureus peritonitis disseminated and he had an associated osteomyelitis of the knee and several inflammed lymph nodes one of which grew staph aureus on biopsy. He has never had sinusitis, pneumonia or a cutaneous abscess. There have been a few episodes of otitis media.

>  

> IgA [H] 126 mg/dL (24-121), IgG 846 mg/dL (533-107), IgM 73 mg/dL (26-218). Neutrophil oxidative burst assay showed 94% of cells positive (transport control was 83%).

>  

> I'd don't know that there are additional tests that will contribute. Suggestions?

> Thanks,

> Richard Wasserman

> 

> -- 

> Richard L. Wasserman, MD, PhD

> DallasAllergyImmunology

> 7777 Forest Lane, Suite B-332

> Dallas, Texas 75230

> Office (972) 566-7788

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