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

[CIS-PIDD]

No, prior evaluations, done more than five years ago, were limited to Ig
levels and vaccine responses.
Richard

On Wed, Feb 15, 2017 at 12:37 PM, CIS-PIDD <cis-pidd at lists.clinimmsoc.org>
wrote:

> 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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-- 
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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