[CIS PIDD] [cis-pidd] recurrent pneumonia

[CIS-PIDD]

Colleagues:

I would like suggestions on a 46 yo female anesthesiologist with recurrent
pneumonia. She has had five episodes of pneumonia over the last 15 years.
Two requiring hospitalization and one ICU admission. Her most recent
pneumonia admission occurred despite beginning levofloxacin within three
hours of the onset of symptoms. Her infection history includes recurrent
sinusitis when young that has become a much less frequent problem, a large
cellulitis after a stingray envenomation and MRSA sinusitis following
surgery. She is a non-smoker. Her most recent pneumonia occurred while on
vacation and was not hospital acquired.

IgG 1070   IgA 132   IgM 125

Responded to 17/23 pneumococcal serotypes, adequate response to DT and H.
flu. CH50 and AH50 normal.

Mannose binding lectin undetectable.

Suggestions for additional studies?

Given the fact that she averages less than on infection per year, I have
been unenthusiastic about antibiotic prophylaxis. Any management
recommendations?

Thank you,

Richard Wasserman

Dallas

-- 
Richard L. Wasserman, MD, PhD
Allergy Partners of North Texas
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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