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118         SECTIon II    Immunology  ` Immunology—Immune reSponSeS                                                                                             Immunology  ` Immunology—Immune reSponSeS





               Infections in immunodeficiency
                pathogen              t cellS             B cellS             granulocyteS       complement
                Bacteria             Sepsis               Encapsulated (Please   Some Bacteria     Encapsulated
                                                           SHINE my SKiS):      Produce No           species with early
                                                           Pseudomonas          Serious granules:    complement
                                                           aeruginosa,          Staphylococcus,      deficiencies
                                                           Streptococcus        Burkholderia cepacia,  Neisseria with late
                                                           pneumoniae,          Pseudomonas          complement (C5–
                                                           Haemophilus          aeruginosa, Nocardia,   C9) deficiencies
                                                           Influenzae type b,   Serratia
                                                           Neisseria
                                                           meningitidis,
                                                           Escherichia coli,
                                                           Salmonella,
                                                           Klebsiella
                                                           pneumoniae,
                                                           Group B
                                                           Streptococcus
                Viruses              CMV, EBV, JC         Enteroviral          N/A                 N/A
                                      virus, VZV, chronic   encephalitis,
                                      infection with       poliovirus
                                      respiratory/GI viruses  (live vaccine
                                                           contraindicated)
                Fungi/parasites      Candida (local), PCP,   GI giardiasis (no IgA)  Candida (systemic),   N/A
                                      Cryptococcus                              Aspergillus, Mucor
                Note: B-cell deficiencies tend to produce recurrent bacterial infections, whereas T-cell deficiencies produce more fungal and
                 viral infections.














































          FAS1_2019_02-Immunology.indd   118                                                                            11/7/19   3:24 PM
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