Effect of Specific Antibodies on Chronic Echovirus Type 5 Encephalitis in a Patient with Hypogammaglobulinemia

Autor: M P Langford, G J Stanton, L. S. Weiner, Randall M. Goldblum, Samuel Baron, Ralph A. Lord, A. S. Goldman, J. T. Howell
Rok vydání: 1979
Předmět:
Zdroj: Journal of Infectious Diseases. 140:858-863
ISSN: 1537-6613
0022-1899
DOI: 10.1093/infdis/140.6.858
Popis: The effects of specific antibodies in chronic echovirus type 5 (echo 5) encephalitis were investigated in a patient with x-linked hypogammaglobulinemia. Virus was detected in cerebrospinal fluid (CSF) and blood despite treatment with commercial human gammaglobulin that contained low titers of antibodies to echo 5 (0.6 x 10(4) units per injection). Virus disappeared from blood and CSF when plasma containing high concentrations of antibodies (total dose, 1--4 x 10(4) units/kg) was administered intravenously. Maximal inhibition of virus was achieved in culture and in the patient's CSF when the titer of antibody to echo 5 in CSF was greater than or equal to 16 units/ml. Although the patient died, hyperimmune plasma improved the neurologic status and eliminated detectable virus from the blood and CSF.
Databáze: OpenAIRE