[CIS PIDD] [cis-pidd] DiGeorge and live virus vaccines

[Sullivan, Kathleen]

There are two papers and one that is coming out soon.

Overall- if you use HIV guidelines-safety seems assured.

On Aug 9, 2013, at 2:07 PM, Verbsky, James wrote:


> Not sure we have any evidence for this…but we usually like to see a normal mitgens..then give varivax first since there is a treatment for any complications with this virus.  Would be interested in what others do?

>  

> Best

>  

> James

>  

>  

> James W. Verbsky M.D./Ph.D.

> Associate Professor of Pediatrics and Microbiology

> Medical College of Wisconsin

> Milwaukee, WI

> 414-266-6701

>  

>  

>  

> From: Haines, Kathleen M.D. [mailto:KHaines at HackensackUMC.org] 

> Sent: Friday, August 09, 2013 1:01 PM

> To: CIS-PIDD

> Subject: [cis-pidd] DiGeorge and live virus vaccines

>  

> I have a 2yo girl w/DiGeorge due/overdue for live virus vaccines.  She is in good health.  However her lymphocyte subsets are as follows:  WBC 2500; CD3 707; CD4 483; CD8 217; CD 56/16 178.  She has made good antibodies to tetanus and responded to 5/7 pneumococcal subtypes in Prevnar.   Overall Igs: IgG 615 mg/dL; IgA 18 mg/dL; IgM 35 mg/dL.  I haven’t done any lymphocyte functions.

>  

> I’m usually happy to give the live vaccines when the CD8 is close to 300 without any functional tests.  Should I go ahead and vaccinate w/ MMRV or hold off?  Opinions?

>  

> 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

>  

> <image001.png>

>  

>  

> ************************************************************************************************************* Confidentiality Notice: This email message and any attachments from HackensackUMC are confidential and for the sole use of the intended recipient. This communication may contain Protected Health Information ("PHI"). PHI is confidential information that may only be used or disclosed in accordance with applicable law. There are penalties under the law for the improper use or further disclosure of PHI. If you are not the intended recipient of this email or the employee or agent responsible for delivering the communication to the intended recipient, then you may not read, copy, distribute or otherwise use or disclose the information contained in this message. If you received this message in error, please notify us by telephone at 551-996-2000 or by email to Postmaster at HackensackUMC.org Please indicate that you were not the intended recipient, and confirm that you have deleted the original message. Please do not retransmit the contents of the message. Thank you. ************************************************************************************************************* About Hackensack University Medical Center HackensackUMC, a nonprofit teaching and research hospital located in Bergen County, NJ, is the largest provider of inpatient and outpatient services in the state. It is the flagship hospital of the Hackensack University Health Network, one of the largest health networks in the state comprised of 1,140 beds, nearly 10,000 employees and 2,200 credentialed physicians. HackensackUMC was listed as the number one hospital in New Jersey and one of the top three New York metro area hospitals in the U.S. News & World Report’s Best Hospital rankings for 2013-14. It also received 10 national rankings in: Cancer; Cardiology & Heart Surgery; Ear, Nose & Throat; Gastroenterology & GI Surgery; Geriatrics; Neurology & Neurosurgery; Orthopedics; Pulmonology; Urology; and the Joseph M. Sanzari Children’s Hospital ranked as one of the Top 50 Best Children’s Hospitals for Neurology and Neurosurgery in the 2013-14 Best Children’s Hospitals list. HackensackUMC is among Healthgrades® America’s Best 100 Hospitals in 10 different areas – more than any other hospital in the nation, is one of Healthgrades America's 50 Best Hospitals™ for seven years in a row, and received the Healthgrades Distinguished Hospital Award for Clinical Excellence™ 11 years in a row. The medical center has also been named a Leapfrog Top Hospital, and received 19 Gold Seals of Approval™ by the Joint Commission – more than any other hospital in the country. It was the first hospital in New Jersey and second in the nation to become a Magnet® recognized hospital for nursing excellence. HackensackUMC is the Hometown Hospital of the New York Giants and the New York Red Bulls, and remains committed to its community through fundraising and community events. To learn more, visit: www.HackensackUMC.org.   

> ---

> 

> The CIS-PIDD listserv is supported by:

> 

> 

> The science & practice of human immunology

> 

> P: +1.414.224.8095

> E: info at clinimmsoc.org

> 

> Not a member of CIS? Please visit www.clinimmsoc.org to join!

> 

> You are currently subscribed to cis-pidd as: jverbsky at mcw.edu.

> To unsubscribe click here: http://lm.clinimmsoc.org/u?id=183824783.922c198296ffdc754aad9421f3d685e1&n=T&l=cis-pidd&o=43691847

> 

> ---

> 

> The CIS-PIDD listserv is supported by:

> 

> 

> The science & practice of human immunology

> 

> P: +1.414.224.8095

> E: info at clinimmsoc.org

> 

> Not a member of CIS? Please visit www.clinimmsoc.org to join!

> 

> You are currently subscribed to cis-pidd as: sullivak at mail.med.upenn.edu.

> To unsubscribe click here: http://lm.clinimmsoc.org/u?id=183824771.d123d252090ca5b0b32c510b919da279&n=T&l=cis-pidd&o=43691863

> 


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



---
The CIS-PIDD listserv is supported by the Clinical Immunology Society
The science & practice of human immunology

P: +1.414.224.8095
E: info at clinimmsoc.org

Not a member of CIS? Please visit www.clinimmsoc.org to join!

You are currently subscribed to cis-pidd as: pagid at list.clinimmsoc.org.
To unsubscribe click here: http://lm.clinimmsoc.org/u?id=183939985.3ea13d40a15475ac00ebbd9cd8a37d6d&n=T&l=cis-pidd&o=43691903
or send a blank email to leave-43691903-183939985.3ea13d40a15475ac00ebbd9cd8a37d6d at lists.clinimmsoc.org
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://seven.pairlist.net/pipermail/pagid/attachments/20130809/655588d5/attachment-0001.htm>