The case of undiagnosed immunodeficiency in child from mother with leukemia anamnesis

Autor: Natalia Hyryavenko, Mykola Serhiiovych Lyndin, Iryna Vitaliivna Tarasova, Alla Yurchenko, O. I. Smiyan, Anatolii Mykolaiovych Romaniuk, Vladyslav Volodymyrovych Sikora, Artem Mykhailovych Piddubnyi, Oksana Kostiantynivna Romaniuk, Kateryna Sikora, Anna Borysivna Korobchanska
Rok vydání: 2018
Předmět:
імунодефіцит
0301 basic medicine
Pediatrics
medicine.medical_specialty
вакцинація
Case Report
гострий лімфобластний лейкоз
acute lymphoblastic leukemia
імунна система
Miscarriage
03 medical and health sciences
тимус
0302 clinical medicine
Immune system
thymus
hemic and lymphatic diseases
medicine
иммунодефицит
Immunodeficiency
вакцинация
Anamnesis
селезінка
business.industry
острый лимфобластный лейкоз
fungi
food and beverages
hemic and immune systems
General Medicine
vaccination
medicine.disease
селезенка
Vaccination
иммунная система
immune system
Leukemia
030104 developmental biology
Premature birth
030220 oncology & carcinogenesis
Gestation
spleen
business
immunodeficiency
Zdroj: Interventional Medicine & Applied Science
ISSN: 2061-5094
2061-1617
Popis: Acute lymphoblastic leukemia (ALL) in pregnant women is rare experience, but it can complicate the gestation by increasing the risk of miscarriage and premature birth. However, the adequate carrying of the pregnancy is possible for women who suffered from leukemia in childhood and achieved the remission during the treatment. Furthermore, there are some facts about the possibility of immunosuppression in children whose parents suffer from various immunodeficiency disorders, including ALL. This clinical case demonstrates the importance of correct diagnostics in order to reveal the congenital pathologies of the immune system in children, whose parents suffered from lymphocytic leukemia, even in case of full clinical and laboratory remission for a significant period of time. In the hospital, the thread metric approach was used for sepsis diagnostics. Conducted treatment was ineffective due to the inadequate immune response in the child and lack of the targeted adjusted measures to immunodeficiency disorder. The present case demonstrates the congenital T-cells immunodeficiency in a child who was complicated by the development of acute ulceronecrotic enterocolitis after vaccination. The treatment that was targeted mainly at the agent eradication did not give the desired results due to non-responsiveness of the immune system of the child.
Databáze: OpenAIRE