[CIS-PAGID] Heterotopy w/polysplenia

[Sorensen, Ricardo]

What was the reason that the patients was detected to have polysplenia? 

Ricardo Sorensen


-----Original Message-----
From: pagid-bounces at list.clinimmsoc.org on behalf of Jyonouchi, Soma C
Sent: Tue 2/14/2012 9:03 AM
To: pagid at list.clinimmsoc.org
Subject: Re: [CIS-PAGID] Heterotopy w/polysplenia
 
When the patient is old enough I would also recommend assessing response to pneumococcal vaccination as part of the functional evaluation of the spleen.  I typically check encapsulated bacteria vaccine titers 2 times a year and re-vaccinate if necessary for my asplenic patients especially if they are unwilling to prophylax. 

 

Soma J

 

From: pagid-bounces at list.clinimmsoc.org [mailto:pagid-bounces at list.clinimmsoc.org] On Behalf Of Sullivan, Kathleen
Sent: Tuesday, February 14, 2012 9:48 AM
To: pagid at list.clinimmsoc.org
Subject: Re: [CIS-PAGID] Heterotopy w/polysplenia

 

I don't prophylax if the spleen is functional.

On Feb 14, 2012, at 8:41 AM, Haines, Kathleen M.D. wrote:





What are people's thoughts about antibiotic prophylaxis for infants with polysplenia but good uptake on spleen scans and no Howell-Jolley bodies on smear?  And for how long would one prophylax?  Mom is very resistant to "drugs".

 

Kathleen A. Haines, MD

Section Chief, Pediatric Immunology

Section of Pediatric Rheumatology & Immunology

Hackensack UMC

30 Prospect Ave.

Hackensack, NJ 07601

 

Tel: 551-996-5306

Fax: 201-996-9815

khaines at HackensackUMC.org

 

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Kate Sullivan, MD PhD
Professor of Pediatrics
ARC 1216 Immunology CHOP
3615 Civic Center Blvd.
Philadelphia, PA 19104
(p) 215-590-1697

(f) 267-426-0363

 


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