Lymphocyte subpopulations and corticosteroid treatment in patients with pertussis

Autor: Marwan Issi, Carmen Sampietro, Donato Torre, D. Rossi, Franco Maggiolo, G. Ingrosso
Rok vydání: 1986
Předmět:
Zdroj: American journal of diseases of children (1960). 140(11)
ISSN: 0002-922X
Popis: Sir .—Immunity in pertussis has not yet been clarified; local immunity probably plays an important role, as Bordetella pertussis causes a noninvasive infection that is restricted to the ciliated respiratory epithelial cells. On the other hand, a toxin produced by B pertussis , lymphocytosispromoting factor, is responsible for systemic manifestations. Hewlett et al 1 showed that B pertussis causes an impairment of cell-mediated immunity in children that is reversible with recovery. The use of corticosteroids in pertussis remains controversial; Zoumboulakis et al 2 and Chandra et al 3 demonstrated a beneficial effect of corticosteroids in reducing the severity and the number of attacks of whooping; however, corticosteroids can impair cellular immunity and could lead to severe complications. Patients and Methods .—To analyze the role of B pertussis and corticosteroid treatment, we examined T-lymphocyte subpopulations of 11 patients with pertussis. Patients were admitted to our division with the diagnosis of pertussis based
Databáze: OpenAIRE