[CIS PIDD] [cis-pidd] Diarrhea after immune stimulation

[Boyce, Thomas G., M.D.]

Richard,

One possibility is hyper IgD (MVK deficiency).

Tom


Thomas G. Boyce, MD, MPH
Pediatric Infectious Diseases and Immunology
Mayo Clinic
Rochester, MN 55905
phone: 507-255-8464
fax: 507-255-7767


From: Richard Wasserman [mailto:drrichwasserman at gmail.com]
Sent: Tuesday, February 25, 2014 5:15 PM
To: CIS-PIDD
Subject: [cis-pidd] Diarrhea after immune stimulation

I have been asked to evaluate a 14 month old girl who has 7-14 days of diarrhea after HIB, Prevnar, DTaP and Rotavirus but not after hepatitis B vaccine. There is also fever to 40C for 6-7 days. She has not had bacterial infections but has had a similar diarrheal response in association with simple viral URI's. It seems as though any immune stimulation triggers diarrhea. I have not seen this before. Any suggestions?
Richard Wasserman

--
Richard L. Wasserman, MD, PhD
DallasAllergyImmunology
7777 Forest Lane, Suite B-332
Dallas, Texas 75230
Office (972) 566-7788
Fax (972) 566-8837
Cell (214) 697-7211

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