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Updated: Aug 14, 2026

Depletion of Specific Cell Populations by Complement Depletion
Published on: February 5, 2010
Complementing the patient: a complement component deficiency in a patient with recurrent infections and
David Sinclair1, Graeme Wilde, Samantha Bex
1Department of Clinical Biochemistry, Queen Alexandra Hospital, Portsmouth, UK. david.sinclair@porthosp.nhs.uk
Insights
A rare C2 complement deficiency caused severe infections in a child. Testing complement function is crucial for diagnosing immune deficiencies in patients with recurrent pyogenic infections.
Area of Science:
- Immunology
- Pediatrics
- Nephrology
Background:
- Recurrent pyogenic infections can indicate underlying immune system dysfunction.
- The complement system plays a vital role in innate immunity and pathogen clearance.
- Classical complement pathway activation is essential for effective immune responses.
Observation:
- A 7-year-old girl presented with empyema and glomerulonephritis.
- Her "immunological" defect was identified as a deficiency in the complement component C2.
- This C2 deficiency impaired her ability to activate the classical complement pathway.
Findings:
- The patient's C2 deficiency was the sole identified "immunological" defect.
- The deficiency directly explained her susceptibility to severe infections.
- Impaired classical complement pathway activation was confirmed.
Implications:
- Complement component deficiencies should be considered in unexplained severe or recurrent infections.
- Comprehensive immune deficiency workups must include assessment of complement system function.
- Early diagnosis of complement deficiencies can guide timely management and prevent severe sequelae.
Abstract:
We present a case showing the investigation of a 7-year-old girl with empyema and glomerulonephritis whose "immunological" defect was a single complement component (C2) deficiency which prevented her from activating her classical complement pathway. A defect in complement function should be suspected in any patient with severe or recurring pyogenic infections. Investigations of "? immune deficiency" should always include tests to assess the patency of the patient's complement system.
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