[CIS PIDD] [cis-pidd] 21yo with severe Staph infections

[Church, Joseph]

Colleagues:

I was 'curbside' consulted on a now 21yo F.

She was well until 20yo when she developed an anterior chest wall abscess with MSSA.  Subsequently the has had bilateral axillary adenitis with abscesses that required I&D x4 all MSSA.  No other signs or symptoms.

Her IgG was borderline at 650; Pneumovax response was positive to 6 of 14 serotypes; DHR was normal; IgE was 11.

Suggestions?

Joe Church
Children's Hospital Los Angeles










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