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

[Saxon, Andy M.D.]

Beware of Hidradenitis suppurativa. There are apocrine glands around the nipple and I have seen it as "chest" infections and  axillae of course.

Hi Joe, best to you and yours, Andy

Andy Saxon, MD
UCLA

From: Naides, Stanley J [mailto:Stanley.J.Naides at questdiagnostics.com]
Sent: Friday, March 28, 2014 1:20 AM
To: CIS-PIDD
Subject: RE: [cis-pidd] 21yo with severe Staph infections

Complements?

Stanley J. Naides, M.D., F.A.C.P., F.A.C.R.
Medical Director, Immunology R&D | Interim Scientific Director, Immunology R&D
Quest Diagnostics Nichols Institute | Immunology | 33608 Ortega Highway | San Juan Capistrano, CA 92675 USA | phone +1.949.728.4578 | fax +1.949.728.7852 | eFax +1.201.918.3297 Stanley.J.Naides at QuestDiagnostics.com | www.NicholsInstitute.com

From: Church, Joseph [mailto:JChurch at chla.usc.edu]
Sent: Monday, March 24, 2014 12:00 PM
To: CIS-PIDD
Subject: [cis-pidd] 21yo with severe Staph infections

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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