[CIS PIDD] [cis-pidd] recurrent infections

[Daniel Suez]

Do you have the Serum IgE level of this patient?  HIE syndrome need to be
ruled out.
Dan

 
Daniel Suez, MD, FAAAAI
Clinical Associate Professor
UT Southwestern Medical Center at Dallas
1115 Kinwest Pkwy, Suite 100
Irving TX 75063
T: 972-401-0545  F: 972-401-0614  C: 214-708-0727
  

From:  Wilmer Cordova Calderon <wilmer.cordova at gmail.com>
Reply-To:  CIS-PIDD <cis-pidd at lists.clinimmsoc.org>
Date:  Monday, February 18, 2013 5:56 PM
To:  CIS-PIDD <cis-pidd at lists.clinimmsoc.org>
Subject:  [cis-pidd] recurrent infections

what type of primary immunodeficiency that you think?

Patients with recurrent
AGE beging INFECTIONS: 6 M
Weight 10.5 KILOS
INCOMPLETE VACCINES: ONLY TO THE YEAR
vaginal delivery
BREASTFEEDING 6M
DELAY TO WALK
SIZE LOW
ALLERGIES: Prurigo
RED CELL multiple transfusions
COMPLETE AND VARIED DIET

hospitalizations
6 DAYS ITU
6M OTITIS RIGHT
RIGHT OTITIS 11M excised tumor derived INEN MARKERS IMMUNOHISTOCHEMISTRY
NEGATIVE.
6M OTITIS 1st LEFT
8M 1st PNEUMONIA
9M 1st PNEUMONIA
NO SINUSITIS
DIARRHEA 01
Recurrent thrush
chronic anemia

28/10/11
HB                     7.5
LEUCOCYTES  12900 
EOSINOPHILS   8
SEGMENTED   16
MONOCYTES     8
LYMPHOCYTES 9030 8816
PCR 5
DHL 449
COOMBS NEGATIVE
IG A 257
IG G 1895
IG M 151
Immunohistochemistry: EAR TUMOR: CD3 CD20 CD68 CD1A S100 lymphoid
proliferation REVEALS NO NI HISTOCITOSIS
SKULL RADIOGRAPHY: NO INJURIES
DIAGNOSTICS
recurrent infection
Chronic lymphocytosis
severe hepatomegaly
PNEUMONIA ABCEDADA
DEVELOPMENTAL DELAY TO WALK
SIZE LOW
chronic anemia
DC HISTIOCYTOSIS

TREATMENT
Antibiotics: vancomycin, meropenem.
Skin biopsy PENDING

-- 
Atte 
Wilmer Córdova
Inmunología Alergología
Instituto Nacional de Salud del Niño - Perú
http://www.isn.gob.pe <http://www.isn.gob.pe/>
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