[CIS PIDD] [cis-pidd] recurrent infections

[Sabiha Anis]

What is the current age of the patient.  Serum IgE and neutrophil function tests should be done as a routine workup for PID in this patient
Sabiha Anis, MCPS, FCPSAssistant ProfessorDepartment of Molecular Diagnostics and ImmunologySindh Institute of Urology and TransplantationKarachi, Pakistan

Date: Mon, 18 Feb 2013 18:23:15 -0600
Subject: Re: [cis-pidd] recurrent infections
From: dsuez at dsallergy.com
To: cis-pidd at lists.clinimmsoc.org

Do you have the Serum IgE level of this patient?  HIE syndrome need to be ruled out.Dan
 Daniel Suez, MD, FAAAAIClinical Associate ProfessorUT Southwestern Medical Center at Dallas1115 Kinwest Pkwy, Suite 100Irving TX 75063T: 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 recurrentAGE beging INFECTIONS: 6 MWeight 10.5 KILOSINCOMPLETE VACCINES: ONLY TO THE YEARvaginal deliveryBREASTFEEDING 6MDELAY TO WALKSIZE LOWALLERGIES: PrurigoRED CELL multiple transfusionsCOMPLETE AND VARIED DIET
hospitalizations6 DAYS ITU6M OTITIS RIGHTRIGHT OTITIS 11M excised tumor derived INEN MARKERS IMMUNOHISTOCHEMISTRY NEGATIVE.6M OTITIS 1st LEFT8M 1st PNEUMONIA9M 1st PNEUMONIANO SINUSITISDIARRHEA 01Recurrent thrushchronic anemia
28/10/11HB                     7.5LEUCOCYTES  12900 EOSINOPHILS   8SEGMENTED   16MONOCYTES     8LYMPHOCYTES 9030 8816PCR 5DHL 449COOMBS NEGATIVEIG A 257
IG G 1895IG M 151Immunohistochemistry: EAR TUMOR: CD3 CD20 CD68 CD1A S100 lymphoid proliferation REVEALS NO NI HISTOCITOSISSKULL RADIOGRAPHY: NO INJURIESDIAGNOSTICSrecurrent infectionChronic lymphocytosissevere hepatomegalyPNEUMONIA ABCEDADADEVELOPMENTAL DELAY TO WALKSIZE LOWchronic anemiaDC HISTIOCYTOSIS
TREATMENTAntibiotics: vancomycin, meropenem.Skin biopsy PENDING
-- 
Atte Wilmer CórdovaInmunología AlergologíaInstituto Nacional de Salud del Niño - Perúhttp://www.isn.gob.pe
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