[CIS PIDD] [cis-pidd] Severe recurrent sinusitis in a CVID pregnant women

[CIS-PIDD]

Thank you very much for your answer.


Surgery once, five years ago. IgG levels right before IVIG infusion last  month. Pregnant, no CAT scan possible right now. She does reasonably well on rifampin / amoxicillin / clavulanate + nasal steroids + nasal washings. But now she is pregnant and I can not find an appropriate treatment for her. Would anybody increase the IVIG dose, would it be useful to use any nasal

medication (beyond mupirocin already done). What about nasal IVIG, any thoughts? Experience?


Alejandro Malbran


________________________________
From: CIS-PIDD <cis-pidd at lists.clinimmsoc.org>
Sent: Thursday, December 22, 2016 12:34 PM
To: CIS-PIDD
Subject: Re: [cis-pidd] Severe recurrent sinusitis in a CVID pregnant women

Has she ever had sinus surgery? When was her last sinus CT and what did it show? When was she last completely well? What was her IgG level at that time?
Richard Wasserman
Dallas

On Thu, Dec 22, 2016 at 9:15 AM, CIS-PIDD <cis-pidd at lists.clinimmsoc.org<mailto:cis-pidd at lists.clinimmsoc.org>> wrote:

Dear Sir,


I would greatly appreciate your input to treat a young lady, 16 weeks pregnant, with severe sinusitis. She does nasal washing and takes amoxicillin. Her IgG is 975, no IgA, IgM nor IgE. She is replaced every 4 weeks with 30 gr. Any suggestion is welcome.


Best regards,


Alejandro Malbran

---

You are currently subscribed to cis-pidd as: drrichwasserman at gmail.com<mailto:drrichwasserman at gmail.com>.

To unsubscribe click here: http://cts.dundee.net/u?id=96396499.3449c9fd54f25f9fa0e022cb002b8c1e&n=T&l=cis-pidd&o=4084622

(It may be necessary to cut and paste the above URL if the line is broken)

or send a blank email to leave-4084622-96396499.3449c9fd54f25f9fa0e022cb002b8c1e at lyris.dundee.net<mailto:leave-4084622-96396499.3449c9fd54f25f9fa0e022cb002b8c1e at lyris.dundee.net>



--
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

---

You are currently subscribed to cis-pidd as: amalbran31 at hotmail.com<mailto:amalbran31 at hotmail.com>.

To unsubscribe click here: http://cts.dundee.net/u?id=96396385.0e0ce4b28f5c58f0e2bcb783c8a2ad86&n=T&l=cis-pidd&o=4084662

(It may be necessary to cut and paste the above URL if the line is broken)

or send a blank email to leave-4084662-96396385.0e0ce4b28f5c58f0e2bcb783c8a2ad86 at lyris.dundee.net<mailto:leave-4084662-96396385.0e0ce4b28f5c58f0e2bcb783c8a2ad86 at lyris.dundee.net>

---
You are currently subscribed to cis-pidd as: pagid at list.clinimmsoc.org.
To unsubscribe click here: http://cts.dundee.net/u?id=96396833.5a9591ccd1e327fe6bc4d1543298c482&n=T&l=cis-pidd&o=4084765
or send a blank email to leave-4084765-96396833.5a9591ccd1e327fe6bc4d1543298c482 at lyris.dundee.net
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <https://pairlist7.pair.net/pipermail/pagid/attachments/20161222/bffd1226/attachment-0001.html>