[CIS PIDD] [cis-pidd] Latent TB and a history of recurrent pneumonia

[CIS-PIDD]

Any previous lymphocyte subsets?

Ayça Aslan Kıykım, MD
Marmara University
Pediatric Allergy and Immunology
Istanbul TURKEY


CIS-PIDD <cis-pidd at lists.clinimmsoc.org> şunları yazdı (15 Şub 2017 20:59):

> I followed a child from age 4-12 during which time he had more than seven x ray documented lobar pneumonias and some otitis and sinusitis but no other bacterial infections. Reported to have had prolonged courses of routine viral illnesses but always recovered. Never cultured an unusual organism. No fungal infections. Normal growth and development. Evaluated several times for an antibody production defect and always had normal Ig's and vaccine responses. Normal granulocyte function, normal complement.
> 
> Lost to follow up for four years. Returns with a positive PPD and a reactive quantiferon gold obtained because he was volunteering at the zoo. Asymptomatic, normal chest x ray. Since I last saw him, he has had only a few viral URI's, no pneumonias, no courses of antibiotics.
> 
> The question is, have I missed looking for something? Is he immunologically normal despite his now distant history of pneumonias. Can he be treated like a normal person with latent TB? The family is anxious to be sure there is no missed problem.
> 
> Pending studies, IgA, IgG, IgM, vaccine serologies, CBC, T and B cell phenotyping.
> 
> Thanks,
> Richard
> 
> -- 
> 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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