https://doi.org/10.4081/monaldi.2022.2454
Specific antibody deficiency to pneumococcal polysaccharide in a young adult with recurrent respiratory infections: a case report
Submitted: October 10, 2022
Accepted: November 11, 2022
Published: November 16, 2022
Accepted: November 11, 2022
Abstract Views: 1068
PDF: 200
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Specific antibody deficiency against pneumococcal serotypes was detected in a patient with recurrent episodes of fever. A 21-year-old man presented with a two-month history of recurrent episodes of fever and shaking chills. He was diagnosed with recurrent episodes of pneumonia caused by Streptococcus pneumoniae serotype 19A and treated with amoxicillin. Serotype-specific antibodies were not produced against most of the serotypes, which were consistent with moderate specific antibody deficiency. After pneumococcal 13-valent conjugate vaccination and pneumococcal polysaccharide vaccination, he adequately responded to the infecting serotype with an antibody titer of 1.1 µg/mL. There were eventually no recurrent episodes of fever with pneumonia.
Lanks CW, Musani AI, Hsia DW. Community-acquired Pneumonia and hospital-acquired pneumonia. Med Clin North Am 2019;103:487-501.
DOI: https://doi.org/10.1016/j.mcna.2018.12.008
Balmer P, Cant AJ, Borrow R. Anti-pneumococcal antibody titre measurement: what useful information does it yield? J Clin Pathol 2007;60:345-50.
DOI: https://doi.org/10.1136/jcp.2006.041210
Hyams C, Camberlein E, Cohen JM, et al. The Streptococcus pneumoniae capsule inhibits complement activity and neutrophil phagocytosis by multiple mechanisms. Infect Immun 2010;78:704-15.
DOI: https://doi.org/10.1128/IAI.00881-09
Kadioglu A, Weiser JN, Paton JC, Andrew PW. The role of Streptococcus pneumoniae virulence factors in host respiratory colonization and disease. Nat Rev Microbiol 2008;6:288-301.
DOI: https://doi.org/10.1038/nrmicro1871
Johnson SE, Rubin L, Romero-Steiner S, et al. Correlation of opsonophagocytosis and passive protection assays using human anticapsular antibodies in an infant mouse model of bacteremia for Streptococcus pneumoniae. J Infect Dis 1999;180:133-40.
DOI: https://doi.org/10.1086/314845
Musher DM, Groover JE, Reichler MR, et al. Emergence of antibody to capsular polysaccharides of Streptococcus pneumoniae during outbreaks of pneumonia: association with nasopharyngeal colonization. Clin Infect Dis 1997;24:441-6.
DOI: https://doi.org/10.1093/clinids/24.3.441
Slotved H-C, Kaltoft M, Skovsted I, et al. Simple, rapid latex agglutination test for serotyping of pneumococci (Pneumotest-Latex). J Clin Microbiol 2004;42:2518-22.
DOI: https://doi.org/10.1128/JCM.42.6.2518-2522.2004
Vergison A, Tuerlinckx D, Verhaegen J, Malfroot A. Epidemiologic features of invasive pneumococcal disease in Belgian children: passive surveillance is not enough. Pediatrics 2006;118:e801-9.
DOI: https://doi.org/10.1542/peds.2005-3195
Shindo Y, Ito R, Kobayashi D, et al. Risk factors for drug-resistant pathogens in community-acquired and healthcare-associated pneumonia. Am J Respir Crit Care Med 2013;188:985-95.
DOI: https://doi.org/10.1164/rccm.201301-0079OC
Pavliakova D, Giardina PC, Moghazeh S, et al. Development and validation of 13-plex Luminex-based assay for measuring human serum antibodies to Streptococcus pneumoniae capsular polysaccharides. mSphere 2018;3:e00128-18.
DOI: https://doi.org/10.1128/mSphere.00128-18
Plotkin SA. Correlates of protection induced by vaccination. Clin Vaccine Immunol 2010;17:1055-65.
DOI: https://doi.org/10.1128/CVI.00131-10
Bonilla FA, Khan DA, Ballas ZK, et al. Practice parameter for the diagnosis and management of primary immunodeficiency. J Allergy Clin Immunol 2015;136:1186-205 e1-78.
Wall LA, Dimitriades VR, Sorensen RU. Specific antibody deficiencies. Immunol Allergy Clin North Am 2015;35:659-70.
DOI: https://doi.org/10.1016/j.iac.2015.07.003
Lopez B, Boucher A, Bahuaud M, et al. Specific polysaccharide antibody deficiency revealed by severe bacterial infections in adulthood: A report on 11 cases. Clin Infect Dis 2017;65:328-31.
DOI: https://doi.org/10.1093/cid/cix284
Gupta R, Wong CS, Fonacier L. Pneumococcal 13-valent conjugate vaccine administration after inferior response to pneumococcal vaccine. Allergy Asthma Proc 2017;38:365-9.
DOI: https://doi.org/10.2500/aap.2017.38.4070
Siber GR, Chang I, Baker S, et al. Estimating the protective concentration of anti-pneumococcal capsular polysaccharide antibodies. Vaccine 2007;25:3816-26.
DOI: https://doi.org/10.1016/j.vaccine.2007.01.119
Kaur R, Pham M, Pichichero M. Serum antibody levels to pneumococcal polysaccharides 22F, 33F, 19A and 6A that correlate with protection from colonization and acute otitis media in children. Vaccine 2021;39:3900-6.
DOI: https://doi.org/10.1016/j.vaccine.2021.05.089
Andrews NJ, Waight PA, Burbidge P, et al. Serotype-specific effectiveness and correlates of protection for the 13-valent pneumococcal conjugate vaccine: a postlicensure indirect cohort study. Lancet Infect Dis 2014;14:839-46.
DOI: https://doi.org/10.1016/S1473-3099(14)70822-9
Mungall BA, Hoet B, Nieto Guevara J, Soumahoro L. A systematic review of invasive pneumococcal disease vaccine failures and breakthrough with higher-valency pneumococcal conjugate vaccines in children. Expert Rev Vaccines 2022;21:201-14.
DOI: https://doi.org/10.1080/14760584.2022.2012455
Dagan R, Givon-Lavi N, Greenberg D, et al. Nasopharyngeal carriage of Streptococcus pneumoniae shortly before vaccination with a pneumococcal conjugate vaccine causes serotype-specific hyporesponsiveness in early infancy. J Infect Dis 2010;201:1570-9.
DOI: https://doi.org/10.1086/652006
Borrow R, Stanford E, Waight P, et al. Serotype-specific immune unresponsiveness to pneumococcal conjugate vaccine following invasive pneumococcal disease. Infect Immun 2008;76:5305-9.
DOI: https://doi.org/10.1128/IAI.00796-08
Corcoran M, Mereckiene J, Cotter S, et al. Using genomics to examine the persistence of Streptococcus pneumoniae serotype 19A in Ireland and the emergence of a sub-clade associated with vaccine failures. Vaccine 2021;39:5064-73.
DOI: https://doi.org/10.1016/j.vaccine.2021.06.017
Sorensen RU, Edgar D. Specific antibody deficiencies in clinical practice. J Allergy Clin Immunol Pract 2019;7:801-8.
DOI: https://doi.org/10.1016/j.jaip.2019.01.024
How to Cite
Ishimaru, Naoto, Yohei Kanzawa, Takahiro Nakajima, Kayoko Okamura, Eiichiro Sando, Isao Ito, Saori Kinami, and Hisashi Ohnishi. 2022. “Specific Antibody Deficiency to Pneumococcal Polysaccharide in a Young Adult With Recurrent Respiratory Infections: A Case Report”. Monaldi Archives for Chest Disease 93 (3). https://doi.org/10.4081/monaldi.2022.2454.
Copyright (c) 2022 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Amos Lal, Ajay Kumar Mishra, Jamal Akhtar, Christoph Nabzdyk, Pneumothorax and pneumomediastinum in COVID-19 acute respiratory distress syndrome , Monaldi Archives for Chest Disease: Vol. 91 No. 2 (2021)
- Carmine Guarino, Cristiano Cesaro, Giuseppe Fiorentino, Francesco Rossi, Benedetto Maria Polverino, Fiorentino Fragranza, Luca Monastra, Patrizia Murino, Enzo Zamparelli, Giuseppe La Cerra, Bronchoscopy in COVID-19 patients: When, how and why. Experience in clinical practice , Monaldi Archives for Chest Disease: Vol. 91 No. 2 (2021)
- Dario Amore, Marco Rispoli, Umberto Caterino, Dino Casazza, Pasquale Imitazione, Alessandro Saglia, Cristiano Cesaro, Comments on “The surgical approach of late-onset tracheoesophageal fistula in a tracheostomized COVID-19 patient” , Monaldi Archives for Chest Disease: Early Access
- Ana Filipa Amador, Sandra Amorim, Tânia Proença, Mariana Vasconcelos, Marta Tavares Da Silva, João Rebelo, André Carvalho, José Pinheiro-Torres, Paulo Pinho, Rui Rodrigues, Screening of cardiac allograft vasculopathy in heart transplant patients with coronary computed tomography angiography , Monaldi Archives for Chest Disease: Early Access
- Francesco Antonini-Canterin, Concetta Di Nora, Marco Pellegrinet, Olga Vriz, Salvatore La Carrubba, Scipione Carerj, Concetta Zito, Anca Matescu, Andreea Ravasel, Iulian Cosei, Bogdan A. Popescu, Effect of uric acid serum levels on carotid arterial stiffness and intima-media thickness: A high resolution Echo-Tracking Study , Monaldi Archives for Chest Disease: Vol. 89 No. 1 (2019)
- Laxmi Pattanashetti, Santosh Patil, Sanath Nyamgouda, Mahendrakumar Bhagiratha, Pramod Gadad , COVID-19 and pregnant women – An overview on diagnosis, treatment approach with limitation, and clinical management , Monaldi Archives for Chest Disease: Vol. 91 No. 3 (2021)
- Manas Pratim Roy, Risk factors for Covid-19 in India , Monaldi Archives for Chest Disease: Vol. 92 No. 2 (2022)
- Mukesh Goyal, Jose K. Jimmy, Ramakant Dixit, Deepak Kumar Garg, A study of subcutaneous emphysema, factors contributing to its development, resolution and management with different modalities , Monaldi Archives for Chest Disease: Vol. 94 No. 2 (2024)
- Mamta Singh, Kunal Deokar, Bibhuti Prassan Sinha, Jinish Doshi, CDS Katoch, Infective pulmonary diseases and the eye: a narrative review , Monaldi Archives for Chest Disease: Early Access
- Nitesh Gupta, Sumita Agrawal, Pranav Ish, Suruchi Mishra, Rajni Gaind, Ganapathy Usha, Balvinder Singh, Manas Kamal Sen, *Safdarjung Hospital COVID 2019 working group, Clinical and epidemiologic profile of the initial COVID-19 patients at a tertiary care centre in India , Monaldi Archives for Chest Disease: Vol. 90 No. 1 (2020)
<< < 20 21 22 23 24 25 26 27 28 29 > >>
You may also start an advanced similarity search for this article.
