作者
Asad Jehangir, Kyle Bennett, Shoaib Bilal Fareedy, Andrew Rettew, Bilal Shaikh, Anam Qureshi, Qasim Jehangir, Richard Alweis
发表日期
2015
期刊
Case reports in gastrointestinal medicine
卷号
2015
期号
1
页码范围
356293
出版商
Hindawi Publishing Corporation
简介
IgG deficiency can predispose to recurrent pyogenic infections. The association of IgG deficiency with Clostridium difficile infection has been infrequently reported in the literature. We present a case of a middle‐age woman with multiple hospitalizations for recurrent C. difficile in a short span of time which prompted consideration of a possible fecal transplant. On evaluation, she was found to have low total IgG, with subclass analysis revealing low IgG1 and IgG3. She was started on monthly infusions of immunoglobulins and one year after her last episode of C. difficile she has not had any recurrence. The role of immunoglobulin infusion in the treatment of recurrent C. difficile is controversial, with some studies revealing no clear evidence of benefit. Our case report suggests that the patients who have underlying IgG deficiency may benefit from immunoglobulin, as this can significantly reduce the incidence of recurrent …
引用总数
20152016201720182019132
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