[CIS PIDD] [cis-pidd] recurrent pneumonia

[CIS-PIDD]

I would consider functional asplenia. 

Best, 

Pere. 
Pere Soler Palacín, MD, PhD, MSc. 
Pediatric Infectious Diseases and Immunodeficiencies Unit. Hospital Universitari Vall d'He bron. 
Vall d'Hebron Research Institute (VHIR) 
Assistant Professor. Universitat Autònoma de Barcelona (UAB) 
Pg. de la Vall d'Hebron, 119-129 
08035 Barcelona. Spain. 
Tel. 0034934893140 / Fax 0034934893039 

psoler at vhebron.net / 34660psp at comb.cat 
Web: www.upiip.com 
ResearchGate: http://www.researchgate.net/profile/Pere_Soler-Palacin 
Linked In : http://es.linkedin.com/pub/pere-soler-palac%C3%ADn/73/918/b16 
No imprimir aquest correu ajudarà a preservar el medi ambient. 


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No imprimir este correo ayudará a preservar el medio ambiente. 
Si usted no es el destinatario del mensaje, o lo ha recibido por error, notifíquelo por favor al remitente y destruya el mensaje con todo su contenido. Está prohibida la distribución no autorizada del contenido de este mensaje. 




----- Missatge original -----

De: "CIS-PIDD" <cis-pidd at lists.clinimmsoc.org> 
Per: "CIS-PIDD" <cis-pidd at lyris.dundee.net> 
Enviats: Dimecres, 1 de Juny 2016 14:06:18 
Assumpte: [cis-pidd] recurrent pneumonia 



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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