Abstract:
:We report here our findings in two Japanese siblings who experienced recurrent bacterial and viral infections since early infancy. Recent symptoms included diarrhoea, conjunctivitis, rashes, headache, sore throat, joint pain, vomiting and vertigo, all similar to those seen in toxic shock syndrome, except for shock. These symptoms improved following gammaglobulin treatment. Staphylococcus aureus with coagulase type IV was continuously isolated from nasal smears producing toxic shock syndrome toxin-1 (TSST-1). Serum antibodies did not or only poorly responded to TSST-1, diphtheria toxoid, varicella virus and rubella virus, whereas total and subclass levels of serum immunoglobulin and in vitro DNA synthesis of lymphocytes stimulated by TSST-1, Staph. aureus, varicella vaccine and mitogens were normal. In the family, ten other members in three generations (five males: five females) including the mother had similar clinical symptoms. Thus, the disease may be inherited in an autosomal dominant fashion.
journal_name
Eur J Pediatrjournal_title
European journal of pediatricsauthors
Higuchi S,Awata H,Nunoi H,Tsuchiya H,Naoe H,Igarashi H,Matsuda Idoi
10.1007/BF01956412subject
Has Abstractpub_date
1994-05-01 00:00:00pages
328-32issue
5eissn
0340-6199issn
1432-1076journal_volume
153pub_type
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