Hi, Jim Nesselroad here. <jim3 at galesburg.net>
I am a family practice M.D. with a patient who is splenectomized, as well as
being a renal transplant recipient. After immunizing her with Pneumovax, I drew
her IgG levels and found her to be sufficiently protected against all but 2
strains of S. pneumoniae-- 7F and 9N. The tests should her to be immunoprotected
against 1,3,4,6B,8,12F,14,18C,19F,23F with IgG Ab levels >200 NG Ab N/ml.
These results indicate a lack of immunity against two strains of S.
pneumonia and in her multiply immunocomprimised state, is there a clinical
concern here? Please reply via e-mail. Thank you for your interest.
