Hyper IgE in a HIV Positive Patient - Case Report
Journal Title: Macedonian Journal of Medical Sciences (MJMS) - Year 2011, Vol 4, Issue 1
Abstract
Background: Hyperimmunoglobulinemia E Syndrome (HIES) is a primary immunodeficiency syndrome associated with multiple abnormalities. Clinical manifestations of atopic allergy, drug reactions, and increased IgE in serum were previously reported during the course of human immunodeficiency virus (HIV) infection. Case report: We herby describe the case of one 63 yrs old male patient with a history of weight loss and diarrhoea, who was previously treated for enterocolitis. He was also treated at the Dermatological Clinic for herpes zoster infection and undiagnosed allergy. Microbiology tests showed presence of Candida and Klebsiella pneumoniae in the patient’s sputum which led to testing and confirmation of HIV/AIDS. After that, Lues was diagnosed and blood sample was sent to our laboratory, to evaluate if this atopic patients was sensitized to beta-lactam antibiotics. The results showed increased level of total IgE for almost 12 times above normal ranges and also allergy to ampicillin was revealed. Highly increased levels of total IgE indicated the possibility for HIE Syndrome in this patient. However the relationship of such findings to the immunologic abnormalities found in patients with HIV is not entirely clear. Conclusion:In conclusion, this is the first case of HIV positive patient with hyper IgE immunoglobulinemia in the Republic of Macedonia. We addressed the important laboratory findings and actual theories explaining possible association between hyper IgE immunoglobulinemia and HIV/AIDS.
Authors and Affiliations
Slavica Hristomanova| Institut of Immunobiology and Human Genetics, Faculty of Medicine, University “Ss Cyril and Methodius”, Skopje, Republic of Macedonia, Violeta Grunevska| University Clinic for Infective Diseases, Faculty of Medicine, University “Ss Cyril and Methodius”, Skopje, Republic of Macedonia, Maragareta Balabanova-Stefanova| University Clinic for Dermatovenerology, Faculty of Medicine, University “Ss Cyril and Methodius”, Skopje, Republic of Macedonia, Dejan Trajkov| Institut of Immunobiology and Human Genetics, Faculty of Medicine, University “Ss Cyril and Methodius”, Skopje, Republic of Macedonia, Aleksandar Petlichkovski| Institut of Immunobiology and Human Genetics, Faculty of Medicine, University “Ss Cyril and Methodius”, Skopje, Republic of Macedonia, Meri Kirijas| Institut of Immunobiology and Human Genetics, Faculty of Medicine, University “Ss Cyril and Methodius”, Skopje, Republic of Macedonia, Eli Djulejic| Institut of Immunobiology and Human Genetics, Faculty of Medicine, University “Ss Cyril and Methodius”, Skopje, Republic of Macedonia, Aleksandar Senev| Institut of Immunobiology and Human Genetics, Faculty of Medicine, University “Ss Cyril and Methodius”, Skopje, Republic of Macedonia, Mirko Spiroski| Institut of Immunobiology and Human Genetics, Faculty of Medicine, University “Ss Cyril and Methodius”, Skopje, Republic of Macedonia
Keywords
Related Articles
- EP ID EP8793
- DOI 10.3889/MJMS.1857-5773.2011.0160
- Views 329
- Downloads 18
Effects of Dual RAAS Blockade with Candesartan and Perindopril on Functional Renal Tests in Streptozotocin Induced Diabetic Nephropathy
Background: Diabetic nephropaty (DN) occurs in approximately 40% of patients with diabetes mellitus, and is the most common cause of end-stage renal disease. The combination of ACE inhibitors with ARB could lead to a m...
Effect of Azadirachta indica A. Juss (Meliaceae) Seed Oil and Extract Against Culex quinquefasciatus Say (Diptera: Culicidae) Larval Susceptibility of Indian Subcontinent
Background. Development of resistance to chemical pesticides among the mosquito vectors leads researchers to investigate the potential mosquito control efficacy of various plant extracts. Aim. To assess the larvicidal...
Evaluation of the Effects of Elevated Intra-abdominal Pressure on the Respiratory Mechanics in Mechanically Ventilated Patients
Aim: The aim of the study was to evaluate the effect of different grades of increased intraabdominal hypertension (IAH) on the respiratory mechanics. Material and Methods: In this prospective observational clinical stud...
Observation of Esterase-Like-Albumin Activity during N’- Nitrosodimethyl amine Induced Hepatic Fibrosis in a Mammalian Model
Aim: Hepatic fibrosis (HF) is characterized by irregular growth and amassing of fibrous scar tissues in the liver causing weakened hepatocytes metabolism and protein level alterations, including albumin. Albumin with M...
Oral Health Status of Individuals with Cleft Lip, Cleft Palate or Both in a Nigerian Population
Background: Cleft lip and/ or palate (CL/P) deformities are congenital anomalies with fissures of either the lip, palate or both combined. The altered oral anatomy causes physiological changes and diminished self clean...