Gamma Globulin Administration In RelapsingClostridium Difficile-Induced Pseudomembranous Colitis With A Defective Antibody Response To Toxin A
Michel Warny, Cécile Denié, Michel Delmée, Christine Lefebvre
Abstract
Michel Warny, Cécile Denié, Michel Delmée, Christine Lefebvre
Abstract
A 53-year-old woman suffered six episodes of Clostridium difficile-pseudomembranous colitis. The serological follow-up demonstrated the absence of a rise in IgG and IgA to toxin A. Human pooled gamma globulin was administered during the fifth relapse and raised IgG levels to toxin A. Normal stools reappeared a week later. The role of the antibodies to toxin A and gamma globulin in C. difficile colitis are discussed.
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A 53-year-old woman suffered six episodes of Clostridium difficile-pseudomembranous colitis. The serological follow-up demonstrated the absence of a rise in IgG and IgA to toxin A. Human pooled gamma globulin was administered during the fifth relapse and raised IgG levels to toxin A. Normal stools reappeared a week later. The role of the antibodies to toxin A and gamma globulin in C. difficile colitis are discussed.
Key concepts: Pseudomembranous colitis, Medicine, Clostridium difficile, Clostridium difficile toxin A, Toxin, Gamma globulin, Colitis, Serology