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Related Concept Videos

Immunodeficiency Diseases01:25

Immunodeficiency Diseases

Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
There are three main causes of immunodeficiency disorders...
Infectious Diseases and Their Occurrence01:28

Infectious Diseases and Their Occurrence

Infectious diseases appear in populations through various transmission patterns, influenced by pathogen characteristics, population immunity, environmental conditions, and social behavior. Understanding these patterns is essential for effective public health surveillance and intervention. These categories—sporadic, outbreak, epidemic, pandemic, and endemic—help frame the nature and scope of disease events.Sporadic diseases occur irregularly and infrequently, without a predictable temporal or...
Factors Affecting the Risk of Infection01:26

Factors Affecting the Risk of Infection

The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin create...
Cytomegalovirus Disease01:27

Cytomegalovirus Disease

Cytomegalovirus (CMV) disease is caused by human cytomegalovirus, a double-stranded DNA virus of the Herpesviridae family. While primary CMV infection is often asymptomatic in immunocompetent individuals, the virus can cause severe disease in neonates and immunocompromised patients. CMV is the most common cause of congenital viral infection in the United States, and a major pathogen in solid organ and hematopoietic stem cell transplant recipients.CMV is transmitted via bodily fluids, sexual...
Cryptococcal Meningitis01:27

Cryptococcal Meningitis

Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...
Development of Immunocompetence01:22

Development of Immunocompetence

The initiation of cell-mediated immunity can be observed as early as the third month of fetal growth, with active antibody-mediated immunity following approximately one month later.
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...

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Ex Vivo Infection of Human Lymphoid Tissue and Female Genital Mucosa with Human Immunodeficiency Virus 1 and Histoculture
11:14

Ex Vivo Infection of Human Lymphoid Tissue and Female Genital Mucosa with Human Immunodeficiency Virus 1 and Histoculture

Published on: October 12, 2018

Infections in 252 patients with common variable immunodeficiency.

Eric Oksenhendler1, Laurence Gérard, Claire Fieschi

  • 1Department of Clinical Immunology, Hôpital Saint-Louis, Paris, France.

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
|April 19, 2008
PubMed
Summary
This summary is machine-generated.

The diagnosis delay for common variable immunodeficiency (CVID) has decreased but remains too long. Early evaluation of immunoglobulin levels is crucial for recurrent respiratory infections, aiding timely CVID diagnosis.

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Development of an IFN-γ ELISpot Assay to Assess Varicella-Zoster Virus-specific Cell-mediated Immunity Following Umbilical Cord Blood Transplantation
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08:44

Separation of Immune Cell Subpopulations in Peripheral Blood Samples from Children with Infectious Mononucleosis

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Area of Science:

  • Immunology
  • Clinical Medicine
  • Epidemiology

Background:

  • Common variable immunodeficiency (CVID) is a primary immunodeficiency characterized by recurrent infections and impaired immunoglobulin production.
  • Adult patients with primary hypogammaglobulinemia were prospectively studied to understand CVID characteristics.

Purpose of the Study:

  • To analyze clinical events and diagnostic delays in adult patients with primary hypogammaglobulinemia, focusing on common variable immunodeficiency (CVID).
  • To identify key symptoms and risk factors associated with CVID diagnosis.

Main Methods:

  • Prospective enrollment of 341 adult patients with primary hypogammaglobulinemia in the DEFI French national study.
  • Retrospective analysis of clinical events prior to enrollment, including symptom onset, diagnosis, and infections.

Main Results:

  • 252 patients were diagnosed with CVID; median age at diagnosis was 33.9 years, with a significant reduction in diagnostic delay for those with symptoms after 1990 (2.9 years vs. 15.6 years).
  • Recurrent upper respiratory tract infections (bronchitis, sinusitis, pneumonia) and diarrhea were common initial symptoms. Specific pathogens like Streptococcus pneumoniae and Giardia were frequently identified.
  • Severe defects in memory switched B cells correlated with persistent infections despite immunoglobulin substitution.

Conclusions:

  • Despite recent improvements, the diagnostic delay for common variable immunodeficiency (CVID) remains unacceptably long.
  • Recurrent upper respiratory tract infections or pneumonia necessitate systematic evaluation of serum immunoglobulin levels for early CVID detection.